Tiffany Dunn, MS,CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Edgewood, TX
NPI 1689399784 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1689399784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 101114 (TX)
- Practice address
- 804 East Pine
Edgewood, TX 75117 - Phone
- (903) 896-4332
- Fax
- (903) 896-4306
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101114 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Isd | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 101114 | TX | Yes |
Addresses
Primary practice location
804 East Pine
Edgewood, TX 75117
Mailing address
451 VZ County Road 4419
Ben Wheeler, TX 75754
Phone (903) 216-6020
Other providers in Edgewood, TX
- Bulldog Pharmacy, LLC
- Thomas Chapmond
- Yvonne Carol Dixon
- East Texas Out-Patient PLLC
- East Texas Pediatric Therapy
- Edgewood Drug Inc
- Edgewood Isd
- Edgewood Rural Healthh Clinic
All providers in Edgewood, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. 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.