Organization
TIFFANY B RYAN
Active
Other names
Tiffany B Ryan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY BETH RYAN MCD, CCC-SLP (OWNER/ SPEECH PATHOLOGIST)
(870) 897-2372
Entity
Organization
Contact information
Practice address
107 N ROCKINGCHAIR RD, PARAGOULD, AR 72450-2414
(870) 897-2372
Mailing address
107 N ROCKINGCHAIR RD, PARAGOULD, AR 72450-2414
(870) 897-2372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2248
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180415742
—
AR
Enumeration date
03/03/2010
Last updated
03/16/2010
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