Doctor Name: | MRS. TIFFANY RYAN |
NPI Number: | 1053479006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD |
License Number: | 2248 |
Business Practice Address: | 6 Farrah Cv Paragould, AR - 724507466 |
Business Phone Number: | 8708972372 |
Business Fax Number: | |
Mailing Address: | 6 Farrah Cv, PARAGOULD |
State: | AR |
Postal Code: | 724507466 |
Phone Number: | 8708972372 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 08/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |