Individual provider · Type 1 NPI

Tiffany Dominguez, BS, SLPA

Speech-Language Assistant · Roseville, CA

NPI number 1174249205 Active

Practice location

730 Sunrise Ave Ste 120
Roseville, CA 95661-4549

Call (408) 437-8864 Map

Mailing address

911 Bern Ct Ste 130
San Jose, CA 95112-1242

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X4612 (CA)

Speech-Language Assistant: Definition to come...

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About NPI 1174249205

Tiffany Dominguez, BS, SLPA's National Provider Identifier is 1174249205, issued on Oct 19, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Roseville, CA. The record was last updated on Oct 19, 2022.