Provider Demographics
NPI:1326565391
Name:TAPIA, TANYA VICTORIA (M S CCC-SLP, MED)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:VICTORIA
Last Name:TAPIA
Suffix:
Gender:F
Credentials:M S CCC-SLP, MED
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:VICTORIA
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:43865 W KRAMER LN
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2403
Mailing Address - Country:US
Mailing Address - Phone:209-596-8147
Mailing Address - Fax:
Practice Address - Street 1:43865 W KRAMER LN
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2403
Practice Address - Country:US
Practice Address - Phone:209-596-8147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP10403235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist