Individual
MS. TIFFANY ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1001 FLEET ST, BALTIMORE, MD 21202-4346
(800) 627-4276
(410) 843-8441
Mailing address
6 WATERWAY CT APT 3D, TOWSON, MD 21286-4443
(410) 610-1137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04891
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04891
DHMH LICENSE
MD
Enumeration date
02/20/2007
Last updated
07/08/2007
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