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

Tara Gervera, MSTSSLD

Individual provider Speech-Language Pathologist · NPI 1255715637

Tara Gervera, MSTSSLD is a Speech-Language Pathologist in Watertown, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

420 Gaffney Dr
Watertown, NY 13601-1823
Phone: (315) 836-1227
Fax: (315) 788-8557
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 025849 (NY)

Record details

NPI number1255715637
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSTSSLD
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESJuly 26, 2016
Mailing address420 Gaffney Dr, Watertown, NY 13601-1823

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