Provider Demographics
NPI:1972145969
Name:THE TASSELLI GROUP LLC
Entity type:Organization
Organization Name:THE TASSELLI GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TASSELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-601-0448
Mailing Address - Street 1:232 WOODLAWN DR
Mailing Address - Street 2:
Mailing Address - City:TRAFFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15085-1233
Mailing Address - Country:US
Mailing Address - Phone:412-601-0448
Mailing Address - Fax:
Practice Address - Street 1:232 WOODLAWN DR
Practice Address - Street 2:
Practice Address - City:TRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:15085-1233
Practice Address - Country:US
Practice Address - Phone:412-601-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty