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

Tina Ly Im, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578701371

Tina Ly Im, MSCCC-SLP is a Speech-Language Pathologist in Brighton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2009

Practice location Address checks out

1615 Commonwealth Ave Apt 11
Brighton, MA 02135-4213
Phone: (626) 840-0010
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 7572 (MA)

Record details

NPI number1578701371
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 2, 2009
Last updated in NPPESFebruary 2, 2009

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