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NPI Code Detail

MEDICARE: TANYA JENISE ESPINOSA M.S.

MEDICARE: TANYA JENISE ESPINOSA M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist35138CA
2235Z00000XSpeech-Language PathologistSA15145FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841668639
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA JENISE ESPINOSA M.S.
Provider Business Mailing Address
First Line : 3260 N HARBOR CITY BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-6203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3260 N HARBOR CITY BLVD
Second Line :
City : MELBOURNE
State : FL
Zip : 32935-6203
Country : US
Telephone Number : 321-693-8196
Fax Number : 321-373-4007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 06/11/2026

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Directions to “ TANYA JENISE ESPINOSA M.S.” Practice Location

Language Start Address Practice Location
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