Tiffany Lynn Ballough, SLP is a
Speech-language Pathologist based in Fayette, Missouri. Tiffany Lynn Ballough is licensed to practice in Missouri (license number 2009027332) and her current practice location is
705 Lucky St, Fayette, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 248-3800.
NPI number for Tiffany Lynn Ballough is 1588998223 and her current mailing address is 705 Lucky St, Fayette, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588998223.
Healthcare Provider's Profile
Full Name | Tiffany Lynn Ballough |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 705 Lucky St, Fayette, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588998223
- Provider Enumeration Date: 09/29/2009
- Last Update Date: 09/29/2009
Medical Identifiers
Medical identifiers for Tiffany Lynn Ballough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588998223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2009027332 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Lynn Ballough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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