MEDICARE: TIFFANY S SAW MA, 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
1	235Z00000X	Speech-Language Pathologist	27361	CA

General Provider Information

NPI Number	:	1902509250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY S SAW MA, CCC-SLP

Provider Business Mailing Address
First Line	:	274 FARALLONES ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-2939
Country	:	US
Telephone Number	:	415-309-2899
Fax Number	:

Provider Business Practice Location Address
First Line	:	4722 POTRERO AVE
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-4443
Country	:	US
Telephone Number	:	415-309-2899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	03/24/2023

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