Individual
TARA ADDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
525 S 60TH ST, WEST DES MOINES, IA 50266-5994
(515) 229-8179
Mailing address
6576 BRADFORD DR, WEST DES MOINES, IA 50266-2308
(515) 229-8179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002132
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
07/15/2011
Last updated
12/14/2021
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