Individual
MARK ANTHONY TADDEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CF-SLP
Contact information
Practice address
10318 CANVAS CANYON CT, LAS VEGAS, NV 89178-6541
(702) 277-2523
Mailing address
10318 CANVAS CANYON CT, LAS VEGAS, NV 89178-6541
(702) 277-2523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1778
NV
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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