Individual
TARA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
800 SOUTHWOOD BLVD STE 207, INCLINE VILLAGE, NV 89451-7475
(775) 298-1441
Mailing address
PO BOX 6893, INCLINE VILLAGE, NV 89450-6893
(775) 298-1441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2038
NV
Other
Enumeration date
04/10/2016
Last updated
02/10/2022
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