Provider Demographics
NPI:1518708817
Name:TRAN, TAMARYN (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:TAMARYN
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 HAMMAN WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-4480
Mailing Address - Country:US
Mailing Address - Phone:630-450-1547
Mailing Address - Fax:
Practice Address - Street 1:1516 LEGACY CIR STE 100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1253
Practice Address - Country:US
Practice Address - Phone:331-249-2226
Practice Address - Fax:331-213-7989
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14500082235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist