Individual
TIFFANIE KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3670 DERBYSHIRE RD, CASSELBERRY, FL 32707-7230
(201) 492-2454
Mailing address
3670 DERBYSHIRE RD, CASSELBERRY, FL 32707-7230
(201) 492-2454
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5007
FL
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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