Individual
MS. TIFFINI DE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 W 13TH ST, GREELEY, CO 80634-6304
(970) 348-2200
(970) 348-2230
Mailing address
1533 44TH AVENUE CT, GREELEY, CO 80634-3110
(970) 397-5148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
229862
CO
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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