Most Relevant Information
Provider Data
| NPI Number: | 1003499021 |
| Provider Name: | TIFFANEY ROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146.011850 |
Most Important Dates
| Enumeration Date: | 04/29/2021 |
| Last Updated: | 04/29/2021 |
Provider Practice Location
4209 CHESAPEAKE DR APT 1B
AURORA
IL
605045146
Practice Location Phone/Fax
| Phone: | 6306778127 |
| Fax: |
Provider Mailing Location
115 E OGDEN AVE STE 105-149
NAPERVILLE
IL
605633103
Provider Mailing Phone/Fax
| Phone: | 6306778127 |
| Fax: |