Individual
MICHAEL NICHOLAS TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
2399 FERRAND ST STE H, MONROE, LA 71201-3208
(318) 460-5150
Mailing address
2399 FERRAND ST STE H, MONROE, LA 71201-3208
(318) 460-5150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6022
LA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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