Provider Demographics
NPI:1508200981
Name:NASKA, TANYA LEE (MA,,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:LEE
Last Name:NASKA
Suffix:
Gender:F
Credentials:MA,,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:RIEGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18077-9782
Mailing Address - Country:US
Mailing Address - Phone:610-346-9395
Mailing Address - Fax:
Practice Address - Street 1:870 DURHAM RD
Practice Address - Street 2:
Practice Address - City:RIEGELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18077-9782
Practice Address - Country:US
Practice Address - Phone:610-346-9395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005446L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist