Provider Demographics
NPI:1942496518
Name:OSKO, TATSIANA (SLP)
Entity Type:Individual
Prefix:
First Name:TATSIANA
Middle Name:
Last Name:OSKO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:TATSIANA
Other - Middle Name:
Other - Last Name:OSTRUSHCHENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:20301 W COUNTRY CLUB DR
Mailing Address - Street 2:1623
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1675
Mailing Address - Country:US
Mailing Address - Phone:917-609-4160
Mailing Address - Fax:
Practice Address - Street 1:20301 W COUNTRY CLUB DR
Practice Address - Street 2:1623
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1675
Practice Address - Country:US
Practice Address - Phone:917-609-4160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9970235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA9970OtherFLORIDA DEPARTMENT OF HEALTH