person
Tiffany Dominguez, BS,SLPA
Speech-Language Assistant in Roseville, California
NPI 1174249205

Tiffany Dominguez is a Speech-Language Assistant based in San Jose, CA and is specialized in Speech-Language Assistant. Tiffany Dominguez practices in Roseville, CA and has the professional credentials of BS,SLPA. The NPI Number for Tiffany Dominguez is 1174249205 and holds a License No. 4612 (California).

The current practice location address for Tiffany Dominguez is 730 Sunrise Ave Ste 120, Roseville, CA and can be reached out via phone at 408-437-8864. You can also correspond with Tiffany Dominguez through the mailing address at 911 BERN CT STE 130, SAN JOSE, CA - 95112-1242 (mailing address contact number: 408-437-8864).

Location: 730 Sunrise Ave Ste 120, Roseville, CA, 95112-1242
person
Provider Profile Details
NPI Number
1174249205
Provider Name
Tiffany Dominguez
Credential
BS,SLPA
Provider Entity Type
Individual
Gender
Female
Address
730 Sunrise Ave Ste 120, Roseville, CA, 95112-1242
Phone Number
408-437-8864
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
730 Sunrise Ave Ste 120
City
State
Zip
95661-4549
Phone Number
408-437-8864
Fax Number
person
Provider Business Mailing Address Details
Address
911 Bern Ct Ste 130
City
State
Zip
95112-1242
Phone Number
408-437-8864
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
4612 (California)
Definition
Definition to come...
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