Smith-Tavaris, Kashala
Smith-Tavaris, Kashala is an sole proprietor health care provider with primary practice located at 60 Katona Dr Ste 24 , Fairfield CT 06824-3544. 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. Smith-Tavaris, Kashala can be contacted via phone (203) 576-0142.Contact Information
Primary practice address
60 Katona Dr Ste 24
Fairfield CT 06824-3544
Phone: (203) 576-0142
Fax: (866) 608-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 003820 | Connecticut |
Profile Details
| NPI number | 1225669856 |
|---|---|
| LBN Legal business name | Smith-Tavaris, Kashala |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2020 |
| Last updated | Aug 27th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225669856 | NPPES |
| Connecticut | Other | 003820 | CT LICENSE IN SPEECH LANGUAGE PATHOLOGY |
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