MEDICARE: TAMMY LEIGH NEUMANN M.A., SLP-CCC

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
1	235Z00000X	Speech-Language Pathologist	015671-1	NY

General Provider Information

NPI Number	:	1770813750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY LEIGH NEUMANN M.A., SLP-CCC

Provider Business Mailing Address
First Line	:	469 FRANKLIN BLVD
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2470
Country	:	US
Telephone Number	:	516-835-2670
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 FRANCIS AVE
Second Line	:
City	:	NORTH BALDWIN
State	:	NY
Zip	:	11510-1638
Country	:	US
Telephone Number	:	516-835-2370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2010
Last Update Date	:	01/13/2010

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