Provider Demographics
NPI:1992498927
Name:HART, TAMMI (CFY-SLP)
Entity type:Individual
Prefix:
First Name:TAMMI
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 QUEENS BLVD APT 12U
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-8145
Mailing Address - Country:US
Mailing Address - Phone:917-202-4867
Mailing Address - Fax:
Practice Address - Street 1:10440 QUEENS BLVD APT 12U
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-8145
Practice Address - Country:US
Practice Address - Phone:917-202-4867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant