Individual
MRS. TIFFANY LYNN WITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9100 5TH AVE NE, SEATTLE, WA 98115-2861
(206) 526-2662
(206) 729-9032
Mailing address
15420 MILL CREEK BLVD, APT. S104, MILL CREEK, WA 98012-1735
(425) 286-3664
(206) 729-9032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00004462
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12105283
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
WA
01
—
LL 00004462
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
12/12/2008
Last updated
12/12/2008
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