Provider Demographics
NPI:1285870915
Name:AHLBERG, TIFFANY CARTER (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:CARTER
Last Name:AHLBERG
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 OCOEE ST N STE 102
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-4829
Mailing Address - Country:US
Mailing Address - Phone:423-641-0956
Mailing Address - Fax:423-641-0955
Practice Address - Street 1:4220 OCOEE ST N STE 102
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4829
Practice Address - Country:US
Practice Address - Phone:423-641-0956
Practice Address - Fax:423-641-0956
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1246237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter