Individual
MRS. TIFFANY DENISE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP- ASSISTANT
Contact information
Practice address
100 N UNIVERSITY DR, FORT WORTH, TX 76107-1360
(817) 814-2000
Mailing address
1400 N STATE HIGHWAY 360 APT 612, MANSFIELD, TX 76063-3517
(832) 969-8294
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36718
TX
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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