Active NPIIndividual providerSole proprietor

Tiffany Wild, MS, CCC/SLP

Speech-Language Pathologist, in Little Egg Harbor Township, New Jersey

NPI Number1679083877
Practice location
324 Frog Pond RD, Little Egg Harbor Township, NJ 08087
Fax
—
Last updated
October 3, 2017

Tiffany Wild is a Speech-Language Pathologist, based in Little Egg Harbor Township, NJ. Tiffany Wild practices in Little Egg Harbor Township, NJ and has the professional credentials of MS, CCC/SLP. The NPI Number for Tiffany Wild is 1679083877 and holds a License No. 41YS00576600 (NJ). The current practice location address for Tiffany Wild is 324 Frog Pond RD, Little Egg Harbor Township, NJ 08087 and can be reached out via phone at 603-879-1000.

Provider Profile Details

NPI Number
1679083877
Provider Name
Tiffany Wild
Credential
MS, CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
324 Frog Pond RD, Little Egg Harbor Township, NJ 08087
Phone Number
603-879-1000
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2017
Last Update Date
October 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
324 Frog Pond RD
Little Egg Harbor Township, NJ 08087
Zip
08087
Phone Number
603-879-1000
Little Egg Harbor Township, NJ 08087Get directions →

Provider Business Mailing Address Details

Address
324 Frog Pond RD
Little Egg Harbor Twp, NJ 08087-9783
City
Little Egg Harbor Twp
State
NJ
Zip
08087-9783

License Information

License Number
41YS00576600
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany Wild, MS, CCC/SLP?

The NPI number of Tiffany Wild, MS, CCC/SLP is 1679083877. It was assigned on October 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Tiffany Wild, MS, CCC/SLP?

Tiffany Wild, MS, CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00576600.

Where does Tiffany Wild, MS, CCC/SLP practice?

The practice location is 324 Frog Pond RD, Little Egg Harbor Township, NJ 08087. The office can be reached at 603-879-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679083877 directly on the NPPES registry website.

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