Individual
TANYA ANN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 337-1122
Mailing address
2197 MAGY LANE, GREEN BAY, WI 54313
(920) 217-4846
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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