Kostow, Tiffany Lee

Kostow, Tiffany Lee is an individual health care provider with primary practice located at 3190 W Baylor Ln , Chandler AZ 85226-1414. 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. Kostow, Tiffany Lee can be contacted via phone (480) 272-5757.

Contact Information

Primary practice address
3190 W Baylor Ln Chandler AZ 85226-1414
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLPL4626 Arizona

Profile Details

NPI number 1871633982
LBN Legal business name Kostow, Tiffany Lee
Credentials BS SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871633982 NPPES
Arizona MEDICAID 931677

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