Provider Demographics
NPI:1548677156
Name:FAIRDOSI, TIFFANY HO (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:HO
Last Name:FAIRDOSI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2503 CYPRESS SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6729
Mailing Address - Country:US
Mailing Address - Phone:832-278-1955
Mailing Address - Fax:877-920-2116
Practice Address - Street 1:2503 CYPRESS SPRINGS CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-6729
Practice Address - Country:US
Practice Address - Phone:832-278-1955
Practice Address - Fax:877-920-2116
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist