Tiffany Scavo Bright, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Perry, GA
NPI 1013229830 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1013229830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP007042 (GA)
- Practice address
- 902 Northside Dr
Perry, GA 31069-3344 - Phone
- (478) 987-1610
- Fax
- (973) 965-4580
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP007042 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007042 | GA | Yes |
Addresses
Primary practice location
902 Northside Dr
Perry, GA 31069-3344
Mailing address
902 Northside Dr
Perry, GA 31069-3344
Phone (478) 987-1610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003105610A | Medicaid | GA |
Other names
- Tiffany Marie Scavo
Other providers in Perry, GA
- Beyond Measure Pediatric Therapies, LLC
- Caley Bibbins
- Gerald K. Brantley
- Temiko Graves Braswell
- Michelle Brickhouse
- Molly Brooks
- Stephen Allan Broughman II
- Chandler Brown
- Danielle Brown
- Harley Brown
All providers in Perry, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.