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Contact Information

TIFFANY BANYARD, SLP
1901 MISSION 66
SUITE A
VICKSBURG, MS39180-3711
 Phone: 601-638-4076
 Fax: 601-638-4979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TIFFANY BANYARD · (Female)

NPI Number 1477601730
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 01/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MS License # S2928
  • MS Medicaid 05274351
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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