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

Mrs. Tanya Jean Distefano, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750914628

Mrs. Tanya Jean Distefano, MSCCC-SLP is a Speech-Language Pathologist in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020

Practice location Address checks out

43 Rando Ln
Waltham, MA 02451-7541
Phone: (978) 460-3718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP-9787-SL (MA)

Record details

NPI number1750914628
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 19, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

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