Provider Demographics
NPI:1912635541
Name:ARRANT, TIFFANY HOPE
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:HOPE
Last Name:ARRANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1677 CARL LYONS RD
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70665-8643
Mailing Address - Country:US
Mailing Address - Phone:337-274-5993
Mailing Address - Fax:
Practice Address - Street 1:700 CURRIE DR
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70665-8750
Practice Address - Country:US
Practice Address - Phone:337-217-4970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5218235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist