Provider Demographics
NPI:1093387292
Name:WADDINGTON, TIFFANY JAY TURNER (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:JAY TURNER
Last Name:WADDINGTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22831 61ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8674
Mailing Address - Country:US
Mailing Address - Phone:425-998-8433
Mailing Address - Fax:
Practice Address - Street 1:22831 61ST AVE SE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8674
Practice Address - Country:US
Practice Address - Phone:425-998-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist