Individual
MS. TATIANA KOGNOVITSKAIA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
700 SE LAREDO DR, MADRAS, OR 97741-9299
(541) 475-7702
Mailing address
PO BOX 675, MADRAS, OR 97741-0093
(541) 475-7702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12074
OR
Other
Enumeration date
02/11/2011
Last updated
12/17/2014
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