Individual
MS. TIFFANY ANN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CFY - SLP
Contact information
Practice address
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211-5930
(601) 362-0859
(601) 362-0870
Mailing address
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211-5930
(601) 362-0859
(601) 362-0870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3723
MS
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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