Active NPIIndividual providerSole proprietor

Tanya A Keller, MS CCC-SLP EDS

Speech-Language Pathologist, in San Diego, California

NPI Number1780809822
Practice location
4735 Bancroft St Apt 6, San Diego, CA 92116-1667
Fax
619-362-9930
Last updated
June 8, 2023

Tanya A Keller is a Speech-Language Pathologist, based in San Diego, CA. Tanya A Keller practices in San Diego, CA and has the professional credentials of MS CCC-SLP EDS. The NPI Number for Tanya A Keller is 1780809822 and holds a License No. 6650 (MA). The current practice location address for Tanya A Keller is 4735 Bancroft St Apt 6, San Diego, CA 92116-1667 and can be reached out via phone at 617-780-5193 and via fax at 619-362-9930.

Provider Profile Details

NPI Number
1780809822
Provider Name
Tanya A Keller
Credential
MS CCC-SLP EDS
Provider Entity Type
Individual
Gender
Female
Address
4735 Bancroft St Apt 6, San Diego, CA 92116-1667
Phone Number
617-780-5193
Fax Number
619-362-9930
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
-- Tanya Scott (Former Name)
Provider Enumeration Date
April 16, 2007
Last Update Date
June 8, 2023
Certification Date
June 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4735 Bancroft St Apt 6
San Diego, CA 92116-1667
Zip
92116-1667
Phone Number
617-780-5193
Fax Number
619-362-9930
San Diego, CA 92116Get directions →

Provider Business Mailing Address Details

Address
4735 Bancroft St Apt 6
San Diego, CA 92116-1667
City
San Diego
State
CA
Zip
92116-1667
Phone Number
617-780-5193
Fax Number
619-362-9930

License Information

License Number (1)
6650
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
SP27018
License State (2)
CA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanya A Keller, MS CCC-SLP EDS?

The NPI number of Tanya A Keller, MS CCC-SLP EDS is 1780809822. It was assigned on April 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Tanya A Keller, MS CCC-SLP EDS?

Tanya A Keller, MS CCC-SLP EDS is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6650.

Where does Tanya A Keller, MS CCC-SLP EDS practice?

The practice location is 4735 Bancroft St Apt 6, San Diego, CA 92116-1667. The office can be reached at 617-780-5193 (phone) or 619-362-9930 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780809822 directly on the NPPES registry website.

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