Individual
TIFFANY DEBORAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2700 UNIVERSITY AVE W APT 145, SAINT PAUL, MN 55114-1752
(714) 313-7863
Mailing address
2700 UNIVERSITY AVE W APT 145, SAINT PAUL, MN 55114-1752
(714) 313-7863
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32937
CA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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