Johnston, Tiffany P

Johnston, Tiffany P is an individual health care provider with primary practice located at 79 Blake St , Presque Isle ME 04769-2474. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Johnston, Tiffany P can be contacted via phone (207) 764-4101.

Contact Information

Primary practice address
79 Blake St Presque Isle ME 04769-2474
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X ST1737 Maine

Profile Details

NPI number 1881880086
LBN Legal business name Johnston, Tiffany P
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated May 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881880086 NPPES
Maine MEDICAID 432291999

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