# MARK TADDEO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568855237
- **Authorized official:** MR. MARK ANTHONY TADDEO (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (702) 277-2523

## Contact information

- **Practice address:** 10318 CANVAS CANYON CT, LAS VEGAS, NV 89178-6541
- **Practice address phone:** (702) 277-2523
- **Mailing address:** 10318 CANVAS CANYON CT, LAS VEGAS, NV 89178-6541
- **Mailing address phone:** (702) 277-2523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | SP-1778 | NV | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 03/05/2015