Individual
MRS. TIFFANY TAYLOR BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1000 S VIENNA ST, RUSTON, LA 71270-5832
(318) 255-7550
Mailing address
2441 MELODY LN, RUSTON, LA 71270-2550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7072
LA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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