Most Relevant Information
Provider Data
| NPI Number: | 1003820556 |
| Provider Name: | TINA RENEE TEMBELESKA M.S.,CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 1572 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5827 WAVELAND CIR
PROSPECT
KY
400598698
Practice Location Phone/Fax
| Phone: | 5025998419 |
| Fax: | 5023396309 |
Provider Mailing Location
5827 WAVELAND CIR
PROSPECT
KY
400598698
Provider Mailing Phone/Fax
| Phone: | 5025998419 |
| Fax: | 5023396309 |