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NPI Code Detail

MEDICARE: TIFFANY NICHOLE ADAMS SLP

MEDICARE: TIFFANY NICHOLE ADAMS 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 Pathologist112938TX

General Provider Information

NPI Number : 1871051508
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY NICHOLE ADAMS SLP
Provider Business Mailing Address
First Line : 4311 BLOOMDALE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-3526
Country : US
Telephone Number : 210-288-0101
Fax Number :
Provider Business Practice Location Address
First Line : 1777 NE LOOP 410 STE 600
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5218
Country : US
Telephone Number : 108-415-7112
Fax Number : 210-610-5156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2019
Last Update Date : 10/20/2022

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Directions to “ TIFFANY NICHOLE ADAMS SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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