Tiffany Wild, MS, CCC/SLP is a
Speech-language Pathologist based in Little Egg Harbor Township, New Jersey. Tiffany Wild is licensed to practice in New Jersey (license number 41YS00576600) and her current practice location is
324 Frog Pond Rd, Little Egg Harbor Township, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(603) 879-1000.
NPI number for Tiffany Wild is 1679083877 and her current mailing address is 324 Frog Pond Rd, Little Egg Harbor Twp, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679083877.
Healthcare Provider's Profile
Full Name | Tiffany Wild |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 324 Frog Pond Rd, Little Egg Harbor Township, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679083877
- Provider Enumeration Date: 10/03/2017
- Last Update Date: 10/03/2017
Medical Identifiers
Medical identifiers for Tiffany Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679083877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 41YS00576600 (New Jersey) | 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 Wild 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 Wild, MS, CCC/SLP 324 Frog Pond Rd, Little Egg Harbor Twp, NJ 08087-9783 Ph: () - | Tiffany Wild, MS, CCC/SLP 324 Frog Pond Rd, Little Egg Harbor Township, NJ 08087 Ph: (603) 879-1000 |
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