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Individual

BRIANA NOELLE TINGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
2520 CASTOR LN, MADISON, IN 47250-2496
(812) 599-4013

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
270720
KY

Other

Enumeration date
06/09/2021
Last updated
06/09/2021
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