Doctor Name: | MRS. TIFFANY LYNN WITTY |
NPI Number: | 1144465527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | LL 00004462 |
Business Practice Address: | 9100 5th Ave Ne Seattle, WA - 981152861 |
Business Phone Number: | 2065262662 |
Business Fax Number: | 2067299032 |
Mailing Address: | 15420 Mill Creek Blvd, Apt. S104 MILL CREEK |
State: | WA |
Postal Code: | 980121735 |
Phone Number: | 4252863664 |
Fax Number: | 2067299032 |
NPI Enumeration Date: | 12/12/2008 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 00004462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |