Individual
MRS. TIFFANY KYLE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4416 N WATERVIEW ST, TACOMA, WA 98407-5711
(415) 847-7405
Mailing address
4416 N WATERVIEW ST, TACOMA, WA 98407-5711
(415) 847-7405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP13408
CA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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