Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tina Michelle Tan, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1043584808

MS. Tina Michelle Tan, MS, CCC-SLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science 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

4618 5th Ave
Brooklyn, NY 11220-1208
Phone: (917) 770-4799
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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 010368 (NY)

Record details

NPI number1043584808
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 25, 2012
Last updated in NPPESFebruary 25, 2012

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