Tiffani Lyn Wallace, MA, CCC-SLP
Speech-Language Pathologist · Peru, IN
Practice location
1642 Warhawk RdPeru, IN 46970-8737
- Phone
- (765) 689-9363
NPI record
- NPI
- 1760611784
- Entity type
- Individual (Type 1)
- Enumeration date
- July 12, 2009
- Last updated
- July 12, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
22003751A | IN |
About Tiffani Wallace
Tiffani Lyn Wallace, MA, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1642 Warhawk Rd, Peru, IN 46970-8737. The NPI number 1760611784 was assigned on July 12, 2009 and the record was last updated on July 12, 2009.
Tiffani Wallace lists a license in the registry: #22003751A (IN) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tiffani Lyn Wallace, MA, CCC-SLP?
The NPI number is 1760611784.
What is the phone number of Tiffani Wallace?
The phone number listed for the practice location is (765) 689-9363.
Where is Tiffani Wallace located?
1642 Warhawk Rd, Peru, IN 46970-8737.
What is the taxonomy code for Tiffani Wallace?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Rebecca Harrell-Bishir, M.A. CCC-SLP1332 N Raccoon Hill Rd
- Jessica Baer2 Broadway PLZ