| Tayne A Christiansen, MA, CCC/SLP | |
|
275 Shomont Dr, Harborcreek, PA 16421-1228 | |
| (814) 602-0436 | |
| (814) 520-5352 |
| Full Name | Tayne A Christiansen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 275 Shomont Dr, Harborcreek, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205677119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SL017703 (Pennsylvania) | Primary |
| Provider Name | Shriners Hospitals For Children |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982971503 PECOS PAC ID: 9133031933 Enrollment ID: O20121012000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Tayne A Christiansen, MA, CCC/SLP 275 Shomont Dr, Harborcreek, PA 16421-1228 Ph: (814) 602-0436 | Tayne A Christiansen, MA, CCC/SLP 275 Shomont Dr, Harborcreek, PA 16421-1228 Ph: (814) 602-0436 |
Julie A Rhines, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 275 Shomont Drive, Harborcreek, PA 16421 Phone: 814-602-0436 Fax: 814-520-5352 | |
Katie E Bartels, MA, CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 275 Shomont Dr, Harborcreek, PA 16421 Phone: 814-602-0436 Fax: 814-520-5352 | |
Melissa Hooks Bobrowicz, MA, CCC/SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 275 Shomont Dr, Harborcreek, PA 16421 Phone: 814-602-0436 Fax: 814-520-5352 | |
Carly E Imler, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 275 Shomont Dr, Harborcreek, PA 16421 Phone: 814-602-0436 Fax: 814-520-5352 |