Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tara B Nelsen, SLP, PC

Organization Speech-Language Pathologist · NPI 1588818686

Tara B Nelsen, SLP, PC is a Speech-Language Pathologist in Park Ridge, New Jersey. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

189 Park Ave
Park Ridge, NJ 07656-1339
Phone: (914) 420-6896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 015795 (NY)

Record details

NPI number1588818686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Nelsen-Defalco — President · (914) 420-6896
NPI enumeratedNovember 17, 2008
Last updated in NPPESNovember 17, 2008
Mailing address189 Park Ave, Park Ridge, NJ 07656-1339

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