Individual
TIFFANY SUE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
1151 DOVE ST, NEWPORT BEACH, CA 92660-2840
(855) 443-3822
Mailing address
8265 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730
(909) 362-2932
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
NA
CA
Other
Enumeration date
05/31/2022
Last updated
09/03/2025
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