Diehl, Tiffany D.
Diehl, Tiffany D. is an individual health care provider with primary practice located at 3701 Landsdowne Dr , Ashland KY 41102-5422. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Diehl, Tiffany D. can be contacted via phone (606) 326-2878.Contact Information
Primary practice address
3701 Landsdowne Dr
Ashland KY 41102-5422
Phone: (606) 326-2878
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 244268 | Kentucky |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 162688 | Kentucky |
Profile Details
NPI number | 1033440557 |
---|---|
LBN Legal business name | Diehl, Tiffany D. |
Credentials | LPP, BCBA, LBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2010 |
Last updated | Oct 2nd, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033440557 | NPPES |
Other | 000000646927 | ANTHEM BCBS (NON PAR) | |
MEDICAID | 30610026 | ANTHEM BCBS (NON PAR) |
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