Banyard, Tiffany
Banyard, Tiffany is an individual health care provider with primary practice located at 1901 Mission 66 Suite A, Vicksburg MS 39180-3711. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Banyard, Tiffany can be contacted via phone (601) 638-4076.Contact Information
Primary practice address
1901 Mission 66 Suite A
Vicksburg MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 638-4979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S2928 | Mississippi |
Profile Details
| NPI number | 1477601730 |
|---|---|
| LBN Legal business name | Banyard, Tiffany |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477601730 | NPPES |
| Mississippi | MEDICAID | 05274351 |
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