| Tiffany Lynn Ballough, SLP | |
| 705 Lucky St, Fayette, MO 65248-1140 | |
| (660) 248-3800 | |
| (660) 248-3702 | 
| Full Name | Tiffany Lynn Ballough | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 705 Lucky St, Fayette, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588998223 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2009027332 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Lynn Ballough, SLP 705 Lucky St, Fayette, MO 65248-1140 Ph: (660) 248-3800 | Tiffany Lynn Ballough, SLP 705 Lucky St, Fayette, MO 65248-1140 Ph: (660) 248-3800 | 
| Angela G Rentel, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 705 Lucky St, Fayette, MO 65248 Phone: 660-248-3800 Fax: 660-248-2610 | |
| Ashley Diane Belstle,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Country Road 320, Fayette, MO 65248 Phone: 573-489-5169 |