Individual
TIFFANY (TY) LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
HOME & COMMUNITY LOCATIONS, BEND, OR 97702-1207
(541) 203-0893
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(541) 203-0893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16835
OR
235Z00000X
Speech-Language Pathologist
LL60023213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-3915764
PEAK COMMUNICATION THERAPY
OR
Enumeration date
11/20/2008
Last updated
12/27/2023
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