Provider Demographics
NPI:1487744843
Name:HARDIN, TANYA (M OF CD,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:
Last Name:HARDIN
Suffix:
Gender:F
Credentials:M OF CD,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DEER SPRING CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-7741
Mailing Address - Country:US
Mailing Address - Phone:256-726-9943
Mailing Address - Fax:
Practice Address - Street 1:101 DEER SPRING CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757-7741
Practice Address - Country:US
Practice Address - Phone:256-726-9943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1138235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist