# TIFFANY (TY) LOCKHART

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699920421
- **Gender:** F
- **Credential:** M.A., CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 16835 | OR | Yes |
| 235Z00000X | Speech-Language Pathologist | LL60023213 | WA | — |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 12/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 85-3915764 | PEAK COMMUNICATION THERAPY | OR |