Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffany Deborah Park, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1790408870

Tiffany Deborah Park, MA, CCC-SLP is a Speech-Language Pathologist in Saint Paul, Minnesota. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2700 University Ave W Apt 145
Saint Paul, MN 55114-1752
Phone: (714) 313-7863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 32937 (CA)

Record details

NPI number1790408870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

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