Provider Demographics
NPI:1750512653
Name:HOPKINS, TIFFANY COLLEEN (MS-SLP/CCC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:COLLEEN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MS-SLP/CCC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:COLLEEN
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1091
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37816-1091
Mailing Address - Country:US
Mailing Address - Phone:423-254-1978
Mailing Address - Fax:423-289-1072
Practice Address - Street 1:958 TRADE ST STE 102
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813
Practice Address - Country:US
Practice Address - Phone:423-254-1978
Practice Address - Fax:423-289-1072
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2999235Z00000X
TN6625235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750512653OtherNPI