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NPI Code Detail

MEDICARE: TANYA JENSEN M.S., CCC-SLP

MEDICARE: TANYA JENSEN M.S., CCC-SLP
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 Pathologist

General Provider Information

NPI Number : 1598610933
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA JENSEN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 120 S ROSA RD
Second Line :
City : MADISON
State : WI
Zip : 53705-4441
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 S ROSA RD
Second Line :
City : MADISON
State : WI
Zip : 53705-4441
Country : US
Telephone Number : 608-204-1845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ TANYA JENSEN M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
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