Provider Demographics
NPI:1922547512
Name:RECUERO LITWIN, TANIA
Entity Type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:RECUERO LITWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2174 DRUID RD E APT 9303
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6381
Mailing Address - Country:US
Mailing Address - Phone:631-681-8850
Mailing Address - Fax:
Practice Address - Street 1:2174 DRUID RD E APT 9303
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6381
Practice Address - Country:US
Practice Address - Phone:631-681-8850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist