Rochester, Tarah Breanne

Rochester, Tarah Breanne is an sole proprietor health care provider with primary practice located at 8012 Shin Oak Dr , Live Oak TX 78233-2413. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Rochester, Tarah Breanne can be contacted via phone (210) 945-5348.

Contact Information

Primary practice address
8012 Shin Oak Dr Live Oak TX 78233-2413
Phone: (210) 945-5348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 106722 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 108032 Texas

Profile Details

NPI number 1609161140
LBN Legal business name Rochester, Tarah Breanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2011
Last updated Aug 5th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609161140 NPPES
Texas MEDICAID 207164901
Texas MEDICAID 149984001

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