Individual
TIFFANY MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3201 SW REGENCY PKWY, BENTONVILLE, AR 72712-7469
(479) 252-3321
Mailing address
3108 SW REGENCY PKWY STE 5, BENTONVILLE, AR 72712-7753
(479) 252-3321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202658
AR
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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