Individual
MRS. TIFFANY ANNE COSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
70 MACEDONIA RD, NEWARK, AR 72562-9678
(870) 307-2705
Mailing address
70 MACEDONIA RD, NEWARK, AR 72562-9678
(870) 307-2705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2662
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP#2662
ARKANSAS BOARD OF EXAMINERS SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
08/09/2013
Last updated
08/09/2013
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