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

Individual provider Speech-Language Pathologist · NPI 1396998324

Mrs. Tara A Tedesco, MA, CCC-SLP is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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

311 Demorest Ave
Staten Island, NY 10314-3111
Phone: (718) 448-1589
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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 58012294 (NY)

Record details

NPI number1396998324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 4, 2008
Last updated in NPPESNovember 4, 2008

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