Tiffini Lynn Graham, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12051242 Issued in MI

Practice address

23575 15 Mile Rd
Clinton TWP, MI 48035-3108

Phone

(586) 791-2470

Fax

(586) 792-7668

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Tiffini Lynn Bitter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Care Rehabilitation Professionals

  • Occupational Therapist
  • Shelby Township, MI
  • NPI 1437718830
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1902005945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S PARKER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393593",
            "telephone_number": "810-765-8110",
            "fax_number": "810-765-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23575 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480353108",
            "telephone_number": "586-791-2470",
            "fax_number": "586-792-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIFFINI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "12051242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFINI",
            "last_name": "BITTER",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Michael Goodpaster
• Sheena Marie Gorecki, PH.D.
• Emily Gozdzialski, PTA
• Paul Richard Gradolph
• Scott Thomas Graham, D.D.S.
• Claire Grawburg, PHARMD
• Kristen L Gray, LMT
• Great Start LLC
• Regina Theresa Green
• Rosemarie Green

• Speech-Language Pathologist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.