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NPI Code Detail

MEDICARE: TANYA NICHOLE TETZNER SLP-A

MEDICARE:   TANYA NICHOLE TETZNER  SLP-A
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
12355S0801XSpeech-Language Assistant2015033421MO

General Provider Information

NPI Number : 1881084895
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA NICHOLE TETZNER SLP-A
Provider Business Mailing Address
First Line : 14500 E 42ND ST S STE 220
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64055-4700
Country : US
Telephone Number : 816-478-7800
Fax Number : 816-478-7839
Provider Business Practice Location Address
First Line : 14500 E 42ND ST S STE 220
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64055-4700
Country : US
Telephone Number : 816-478-7800
Fax Number : 816-478-7839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2015
Last Update Date : 05/18/2026

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Directions to “ TANYA NICHOLE TETZNER SLP-A” Practice Location

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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.