Organization
TIFFANY TALIAFERRO SPEECH PATHOLOGIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY JONAY TALIAFERRO MA, CCC-SLP (OWNER/LEAD THERAPIST-SLP)
(410) 805-7068
Entity
Organization
Contact information
Practice address
3423 OLNEY LAYTONSVILLE RD STE 1, OLNEY, MD 20832-3707
(301) 774-0052
(301) 774-8535
Mailing address
PO BOX 1360, OLNEY, MD 20830-1360
(301) 774-0052
(301) 774-8535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861169526
INDEPENDENT CONTRACTOR
MD
Enumeration date
05/02/2022
Last updated
05/02/2022
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