Individual
MRS. CAROLYN SAGER TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
(951) 788-3556
Mailing address
235 CUCAMONGA AVE, CLAREMONT, CA 91711-5016
(609) 721-7077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019450-1
NY
235Z00000X
Speech-Language Pathologist
34899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019450-1
STATE LICENSE NUMBER
NY
Enumeration date
10/27/2009
Last updated
06/14/2023
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