Individual
MRS. TIFFANY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 E ROBINSON, NORMAN, AR 73071
(405) 307-2814
(405) 307-2801
Mailing address
PO BOX 490, NORMAN, OK 73070
(405) 307-2814
(405) 307-2801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7928
AR
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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