SearchIndiana235Z00000X

Tiffani Wallace, MA, CCC-SLP

NPI 1760611784 · on the registry since 2009

Practice

Address
1642 Warhawk Rd
Peru, IN 46970
Phone
(765) 689-9363

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana