Provider Demographics
NPI:1639323603
Name:TASSONE, ANNA M (MA,CCC-SLP, TSHH)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:TASSONE
Suffix:
Gender:F
Credentials:MA,CCC-SLP, TSHH
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:CUOMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCC-SLP, TSHH
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:AMAWALK
Mailing Address - State:NY
Mailing Address - Zip Code:10501-0161
Mailing Address - Country:US
Mailing Address - Phone:914-241-2727
Mailing Address - Fax:
Practice Address - Street 1:1133 PLEASANTVILLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1634
Practice Address - Country:US
Practice Address - Phone:914-241-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017381235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist