Provider Demographics
NPI:1780316471
Name:CATER, TIFFANY (SLP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:CATER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8289 HIGHWAY 8 W
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:LA
Mailing Address - Zip Code:71340-1691
Mailing Address - Country:US
Mailing Address - Phone:318-715-5890
Mailing Address - Fax:
Practice Address - Street 1:8289 HIGHWAY 8 W
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:LA
Practice Address - Zip Code:71340-1691
Practice Address - Country:US
Practice Address - Phone:318-715-5890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist