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Contact Information

TANYA J ANTONISSE IRWIN, MS CCC-SLP
1023 KIMBRO DRIVE
FORNEY, TX75126
 Phone: 972-948-3852
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TANYA J ANTONISSE IRWIN · (Female)

NPI # 1497235691
Status Active
Credentials MS CCC-SLP
Entity Individual
Enumeration date 08/16/2018
Last updated 08/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 102821
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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