Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760611784 Individual Practitioner Female Practitioner

Tiffani Lyn Wallace , MA, CCC-SLP

Speech-Language Pathologist • Peru, IN

Professional Overview & Biography Verified Profile Summary

Tiffani Wallace, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Peru, IN. Practice services are available at 1642 WARHAWK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1642 Warhawk Rd

Peru, IN 469708737

Telephone 7656899363

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Peru, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Peru, IN (3038 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22003751A

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2009

Registered at 1642 WARHAWK RD, PERU, IN 469708737 (Tel: 7656899363)

📍
Updated Business Mailing Address July 12, 2009

Registered at 1642 WARHAWK RD, PERU, IN 469708737 (Tel: 7656899363)

👤
Provider Name / Credentials Updated July 12, 2009

Recorded as TIFFANI WALLACE, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2009

Speech-Language Pathologist (License #22003751A in IN)

🟢
Initial NPI Registration & Enumeration July 12, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760611784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2009
Last Update: July 12, 2009
Sole Proprietor: No

Mailing Address

1642 Warhawk Rd

Peru, IN 469708737

Phone: 7656899363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.