Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Elizabeth Marisol Tavares, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1548568793

Mrs. Elizabeth Marisol Tavares, MA, CCC-SLP is a Speech-Language Pathologist in Douglaston, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

24419 73rd Ave
Douglaston, NY 11362-2321
Phone: (718) 812-9414
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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 020394-1 (NY)

Record details

NPI number1548568793
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 10, 2011
Last updated in NPPESMarch 10, 2011

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