Doctor Name: | MRS. TIFFANY JEANETTE PALMER |
NPI Number: | 1306187562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | 4263 |
Business Practice Address: | 181 W Professional Park Ct Ste 1 Bowling Green, KY - 421043250 |
Business Phone Number: | 2708435300 |
Business Fax Number: | 2708435383 |
Mailing Address: | Po Box 51322, BOWLING GREEN |
State: | KY |
Postal Code: | 421025622 |
Phone Number: | 2707779283 |
Fax Number: | 2707779283 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |