Individual
TIFFANY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
(505) 344-9343
Mailing address
804 HACKBERRY TRL SE, ALBUQUERQUE, NM 87123-4181
(505) 299-2408
(505) 344-9343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3052
NM
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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