Provider Demographics
NPI:1003981911
Name:NOBLE, TIFFANY CHRISTINA (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:CHRISTINA
Last Name:NOBLE
Suffix:
Gender:
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:TIFFANY
Other - Middle Name:CHRISTINA
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:5710 DEWBERRY WAY
Mailing Address - Street 2:XXXX
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4570
Mailing Address - Country:US
Mailing Address - Phone:561-313-8243
Mailing Address - Fax:
Practice Address - Street 1:250 MCDAVID BLVD
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-1603
Practice Address - Country:US
Practice Address - Phone:606-474-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 7450235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist