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NPI Code Detail

MEDICARE: TATYANA MAYSTRYUK

MEDICARE: TATYANA MAYSTRYUK
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 Pathologist19455CA

General Provider Information

NPI Number : 1720819527
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATYANA MAYSTRYUK
Provider Business Mailing Address
First Line : 3738 WALNUT AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-3099
Country : US
Telephone Number : 916-807-2364
Fax Number :
Provider Business Practice Location Address
First Line : 3738 WALNUT AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-3099
Country : US
Telephone Number : 916-971-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 04/13/2026

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Directions to “ TATYANA MAYSTRYUK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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