NPI 1992334643 · live from the CMS NPI Registry
Tiffany Carson
Speech-Language Pathologist, in Durham, NC. National Provider Identifier 1992334643, active.
NPI record
| NPI | 1992334643 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 4112 Lady Slipper Ln, Durham, NC 27704 |
| Practice phone | 919-225-7737 |
| Mailing address | 400 Galloway St Ne Apt 309s, Washington, DC 20011 |
| Enumerated | April 5, 2020 |
| Last updated | September 23, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.