Individual
TIFFANY GRAY BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
343 PRADO WAY, GREENVILLE, SC 29607-6512
(864) 270-8647
Mailing address
18 ALDERWOOD CT, TAYLORS, SC 29687-3174
(864) 752-8558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7476
SC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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