Individual
MS. ATHENA M TAHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, TSSLD
Contact information
Practice address
2388 31ST ST APT 5C, ASTORIA, NY 11105-3327
(610) 349-4505
Mailing address
2388 31ST ST APT 5C, ASTORIA, NY 11105-3327
(610) 349-4505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027939
NY
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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