| Tiffiny Harris Hagan, | |
|
1510 N Brindlee Mountain Pkwy, Arab, AL 35016-5723 | |
| (256) 931-2013 | |
| (256) 931-2014 |
| Full Name | Tiffiny Harris Hagan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1510 N Brindlee Mountain Pkwy, Arab, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518251669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3149 (Alabama) | Primary |
| Provider Name | Encore Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffiny Harris Hagan, 42465 Highway 195, Haleyville, AL 35565-7052 Ph: (256) 350-1764 | Tiffiny Harris Hagan, 1510 N Brindlee Mountain Pkwy, Arab, AL 35016-5723 Ph: (256) 931-2013 |
Gloria M Kelly, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 N Brindlee Mountain Pkwy, Arab, AL 35016 Phone: 256-931-3711 Fax: 256-586-0709 | |
Dorianne L Elliott, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 304 Arad Thompson Rd Ne, Arab, AL 35016 Phone: 256-572-4667 | |
Amy Folsom, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 N Brindlee Mountain Pkwy, Arab, AL 35016 Phone: 256-931-3711 Fax: 256-586-0709 | |
Hannah Hudson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 N Brindlee Mountain Pkwy, Arab, AL 35016 Phone: 256-931-3711 |