Tina Marie Othman, MA,CCC/SLP

Speech-Language Pathologist · Lake Placid, FL

Individual Active NPI

NPI number 1639632102

Practice location

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

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NPI record

NPI
1639632102
Entity type
Individual (Type 1)
Enumeration date
April 10, 2019
Last updated
April 10, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SA7575 FL

Mailing address

5727 Autumn Chase Cir
Sanford, FL 32773-8173
Phone
(407) 389-9294

About Tina Othman

Tina Marie Othman, MA,CCC/SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1297 Us 27 N, Lake Placid, FL 33852-7907. The NPI number 1639632102 was assigned on April 10, 2019 and the record was last updated on April 10, 2019.

Tina Othman lists a license in the registry: #SA7575 (FL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tina Marie Othman, MA,CCC/SLP?

The NPI number is 1639632102.

What is the phone number of Tina Othman?

The phone number listed for the practice location is (914) 701-6775.

Where is Tina Othman located?

1297 Us 27 N, Lake Placid, FL 33852-7907.

What is the taxonomy code for Tina Othman?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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