Doctor Name: | TIFFANY VERNON PHELPS |
NPI Number: | 1053550111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | 2202002886 |
Business Practice Address: | 4610 Heartland Way Fredericksburg, VA - 224088867 |
Business Phone Number: | 5408098010 |
Business Fax Number: | 5408911622 |
Mailing Address: | 4610 Heartland Way, FREDERICKSBURG |
State: | VA |
Postal Code: | 224088867 |
Phone Number: | 5408098010 |
Fax Number: | 5408911622 |
NPI Enumeration Date: | 02/13/2009 |
NPI Last Update Date: | 02/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202002886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |