Tiffany Marie Luque M.S. CCC-SLP

NPI 1215114483 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1215114483
Gender Female
Enumeration Date 01/29/2008
Last Updated 06/07/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1650 SW ALBERCA LN
PORT ST LUCIE FL, 34953-1665, US
Phone (772) 528-7522
Fax
Business Location
1650 SW ALBERCA LN
PORT ST LUCIE FL, 34953-1665, US
Phone (772) 528-7522
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA9773
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According to our database, Ms. Tiffany Marie Luque M.S. CCC-SLP NPI is 1215114483, taxonomy code is 235Z00000X and license number is SA9773, license state is located at Florida. Tiffany Marie Luque M.S. CCC-SLP physically located at 1650 Sw Alberca Ln, Port St Lucie FL, 34953-1665. NPI Number Tiffany Marie Luque M.S. CCC-SLP has the Individual type.

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1215114483 NPI number is provided on an as is basis without warranty of any kind. 1215114483 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Marie Luque M.S. CCC-SLP are for informational purposes only.