Individual
TARA M MERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
59 DANBURY RD, WILTON, CT 06897-4405
(203) 210-7124
(203) 210-7126
Mailing address
239 N MIDDLETOWN RD, APT A, PEARL RIVER, NY 10965-1138
(631) 662-6528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0221888
NY
235Z00000X
Speech-Language Pathologist
41YS00814100
NJ
Other
Enumeration date
10/22/2012
Last updated
02/01/2016
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