Provider Demographics
NPI:1871768911
Name:WEBB, TIFFANY ANN (MCD, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ANN
Last Name:WEBB
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 89 BOX 646
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:AR
Mailing Address - Zip Code:72561-9703
Mailing Address - Country:US
Mailing Address - Phone:870-346-5925
Mailing Address - Fax:
Practice Address - Street 1:1013 HALEY STREET
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:AR
Practice Address - Zip Code:72556
Practice Address - Country:US
Practice Address - Phone:870-368-7955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist