NPI 1487368213 · live from the CMS NPI Registry
Tiffanie Anne Allred, MEd. CCC-SLP
Speech-Language Pathologist, in Roosevelt, UT. National Provider Identifier 1487368213, active.
NPI record
| NPI | 1487368213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1010 E 200 N, Roosevelt, UT 84066 |
| Practice phone | 435-725-4500 |
| Mailing address | Po Box 353, Altamont, UT 84001 |
| Enumerated | January 6, 2023 |
| Last updated | January 6, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 9280387-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.