Nelsen-Defalco, Tara

Nelsen-Defalco, Tara is an individual health care provider with primary practice located at 189 Park Ave , Park Ridge NJ 07656-1339. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nelsen-Defalco, Tara can be contacted via phone (914) 420-6896.

Contact Information

Primary practice address
189 Park Ave Park Ridge NJ 07656-1339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 015795 New York

Profile Details

NPI number 1538313630
LBN Legal business name Nelsen-Defalco, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Nov 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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