Individual
TARA LYNNE CHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 692-4630
Mailing address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 692-4630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7084
MN
235Z00000X
Speech-Language Pathologist
Primary
SLP6112
AZ
Other
Enumeration date
09/28/2006
Last updated
11/10/2009
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