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Individual

TIFFANY DARITY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1004 S MAIN ST, BERRYVILLE, AR 72616-4330
(870) 654-3869
(870) 505-2016
Mailing address
1587 BUNCH SPRINGS RD, BERRYVILLE, AR 72616-4640
(479) 981-9780

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201585
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272288721
AR
Enumeration date
05/18/2012
Last updated
06/26/2025
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