Provider Demographics
NPI:1740434901
Name:TASCH, MELISSA BETH (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:BETH
Last Name:TASCH
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ALEXANDER ST APT 208
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7553
Mailing Address - Country:US
Mailing Address - Phone:914-282-4428
Mailing Address - Fax:
Practice Address - Street 1:1 ALEXANDER ST APT 208
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7553
Practice Address - Country:US
Practice Address - Phone:914-282-4428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003305-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist