Provider Demographics
NPI:1770251985
Name:TAPIA, ELIZABETH (MS,CCC-SLP, TSSLD-)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:TAPIA
Suffix:
Gender:F
Credentials:MS,CCC-SLP, TSSLD-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E 164TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-6201
Mailing Address - Country:US
Mailing Address - Phone:646-582-9866
Mailing Address - Fax:
Practice Address - Street 1:250 E 164TH ST FL 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-6201
Practice Address - Country:US
Practice Address - Phone:646-582-9866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist