Leach-Berth, Tiffany S

Leach-Berth, Tiffany S is an individual health care provider with primary practice located at 2001 Lincoln Dr W Suite E, Marlton NJ 08053-1531. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Leach-Berth, Tiffany S can be contacted via phone (856) 596-9670.

Contact Information

Primary practice address
2001 Lincoln Dr W Suite E Marlton NJ 08053-1531
Phone: (856) 596-9670
Fax: (856) 985-6302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00073000 New Jersey
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X New Jersey
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X YA730,MG949 New Jersey

Profile Details

NPI number 1174722375
LBN Legal business name Leach-Berth, Tiffany S
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jan 12th, 2018 - about 6 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 1174722375 NPPES
New Jersey Other 115350ZDHS MEDICARE

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