Prescott, Tiffany C
Prescott, Tiffany C is an sole proprietor health care provider with primary practice located at 2920 Aylesbury Dr , Augusta GA 30909-0628. 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. Prescott, Tiffany C can be contacted via phone (706) 955-9995.Contact Information
Primary practice address
2920 Aylesbury Dr
Augusta GA 30909-0628
Phone: (706) 955-9995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5414 | Georgia |
Profile Details
| NPI number | 1356343511 |
|---|---|
| LBN Legal business name | Prescott, Tiffany C |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Dec 5th, 2012 - about 12 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 | 1356343511 | NPPES |
| Georgia | MEDICAID | 401360853A |
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