Tiffany Joe, MS, CCC-SLP; IBCLC
Speech-Language Pathologist, in Dallas, TX. Individual provider (NPI-1).
NPI number1710454038
StatusActive
Last updated in NPPESOct 24, 2018
Details
- NPI
- 1710454038
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Joe
- Credential
- MS, CCC-SLP; IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2018
- Last updated
- Oct 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 103326 | TX | Yes |
| 174N00000X | Lactation Consultant, Non-RN | L-143923 | – |
Practice location
6329 Lange CirDallas, TX 75214-2353
Phone 214-868-0090
Mailing address
6329 Lange CirDallas, TX 75214-2353
Phone 214-868-0090
Other practice locations
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Dallas, TX 75235-7709
Phone 214-868-0090
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