Provider Demographics
NPI:1497834691
Name:CONLEY, TIFFIANY ANN (MS)
Entity Type:Individual
Prefix:MS
First Name:TIFFIANY
Middle Name:ANN
Last Name:CONLEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 QUAY ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-4729
Mailing Address - Country:US
Mailing Address - Phone:304-573-3425
Mailing Address - Fax:
Practice Address - Street 1:650 N PIKE ST
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-1220
Practice Address - Country:US
Practice Address - Phone:304-265-2497
Practice Address - Fax:304-265-2508
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist