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NPI Code Detail

MEDICARE: MS. TIFFANY CHRISTINA NOBLE MS, CCC-SLP

MEDICARE: MS. TIFFANY CHRISTINA NOBLE MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA 7450FL

General Provider Information

NPI Number : 1003981911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TIFFANY CHRISTINA NOBLE MS, CCC-SLP
Provider Business Mailing Address
First Line : 5710 DEWBERRY WAY
Second Line : XXXX
City : WEST PALM BEACH
State : FL
Zip : 33415-4570
Country : US
Telephone Number : 561-313-8243
Fax Number :
Provider Business Practice Location Address
First Line : 250 MCDAVID BLVD
Second Line :
City : GRAYSON
State : KY
Zip : 41143-1603
Country : US
Telephone Number : 606-474-7835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2006
Last Update Date : 04/18/2025

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