MS. Tiffani Lyn Wallace, MA, CCC-SLP

NPI #1760611784 in Peru, Indiana

Provider Information

NPI Number
1760611784
Entity Type
Individual
Name
MS. Tiffani Lyn Wallace, MA, CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA, CCC-SLP
Enumeration Date
Jul 12, 2009
Last Updated
Jul 12, 2009

Practice Location

Address
1642 WARHAWK RD
City
Peru
State
Indiana
ZIP Code
46970-8737
Phone
(765) 689-9363

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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