Bruce, Tiffany Lynn

Bruce, Tiffany Lynn is an individual health care provider with primary practice located at 1525 W Frye Rd , Chandler AZ 85224-6178. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bruce, Tiffany Lynn can be contacted via phone (480) 812-7000.

Contact Information

Primary practice address
1525 W Frye Rd Chandler AZ 85224-6178
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1629262290
LBN Legal business name Bruce, Tiffany Lynn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629262290 NPPES
Arizona MEDICAID 117120

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