Provider Demographics
NPI:1992877849
Name:SEAY, TANYA MARIE (SLP)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:SEAY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6996-A SOUTH ZARZAMORA
Mailing Address - Street 2:6996-A SOUTH ZARZAMORA
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224
Mailing Address - Country:US
Mailing Address - Phone:210-787-1583
Mailing Address - Fax:210-921-0009
Practice Address - Street 1:410 CARTER
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-1531
Practice Address - Country:US
Practice Address - Phone:830-741-8083
Practice Address - Fax:830-741-8126
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19337235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19337OtherSLP LICENSE