Bright, Tiffany Scavo
Bright, Tiffany Scavo is an individual health care provider with primary practice located at 902 Northside Dr , Perry GA 31069-3344. 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. Bright, Tiffany Scavo can be contacted via phone (478) 987-1610.Contact Information
Primary practice address
902 Northside Dr
Perry GA 31069-3344
Phone: (478) 987-1610
Fax: (973) 965-4580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007042 | Georgia |
Profile Details
| NPI number | 1013229830 |
|---|---|
| LBN Legal business name | Bright, Tiffany Scavo |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2010 |
| Last updated | Nov 8th, 2013 - about 11 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 | 1013229830 | NPPES |
| Georgia | MEDICAID | 003105610A |
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