Doctor Name: | TIFFANY PARKER |
NPI Number: | 1366785321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH |
License Number: | SLP004966 |
Business Practice Address: | 4881 Hampton Lake Dr Marietta, GA - 300684310 |
Business Phone Number: | 6786419400 |
Business Fax Number: | |
Mailing Address: | 4881 Hampton Lake Dr, MARIETTA |
State: | GA |
Postal Code: | 300684310 |
Phone Number: | 6786419400 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |