Individual
MS. TIFFANY JENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
139 SUMMER ST, WATERTOWN, MA 02472-3802
(617) 982-2843
Mailing address
139 SUMMER ST, WATERTOWN, MA 02472-3802
(617) 982-2843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9125
MA
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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