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Tiffani Lyn Wallace, MA, CCC-SLP

Speech-Language Pathologist, in Peru, IN. Individual provider (NPI-1).

NPI number1760611784
StatusActive
Last updated in NPPESJul 12, 2009

Details

NPI
1760611784
Entity type
Individual (NPI-1)
Name
Ms. Tiffani Lyn Wallace
Credential
MA, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2009
Last updated
Jul 12, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,22003751AINYes

Practice location

1642 Warhawk Rd
Peru, IN 46970-8737

Phone 765-689-9363

Mailing address

1642 Warhawk Rd
Peru, IN 46970-8737

Phone 765-689-9363

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Other Speech-Language Pathologist providers in Peru, IN

All 7 Speech-Language Pathologist providers in Peru · All 332 providers in Peru

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