Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Marie Othman, MA, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1639632102

Tina Marie Othman, MA, CCC/SLP is a Speech-Language Pathologist in Lake Placid, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1297 US 27 N
Lake Placid, FL 33852-7907
Phone: (914) 701-6775
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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 SA7575 (FL)

Record details

NPI number1639632102
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC/SLP
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 10, 2019

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