Wallace, Tiffani Lyn

Wallace, Tiffani Lyn is an individual health care provider with primary practice located at 1642 Warhawk Rd , Peru IN 46970-8737. 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. Wallace, Tiffani Lyn can be contacted via phone (765) 689-9363.

Contact Information

Primary practice address
1642 Warhawk Rd Peru IN 46970-8737
Phone: (765) 689-9363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22003751A Indiana

Profile Details

NPI number 1760611784
LBN Legal business name Wallace, Tiffani Lyn
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2009
Last updated Jul 12th, 2009 - about 16 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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