Fennell, Tiffanie

Fennell, Tiffanie is an individual health care provider with primary practice located at 1660 S Columbian Way Primary Care Clinic (S-Pcc-123), Seattle WA 98108-1532. She recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as her primary health care specialty. Fennell, Tiffanie can be contacted via phone (206) 277-4434.

Contact Information

Primary practice address
1660 S Columbian Way Primary Care Clinic (S-Pcc-123) Seattle WA 98108-1532
Phone: (206) 277-4434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 6573 Ohio
Behavioral Health & Social Service Providers / Health 103TH0004X 34715 Texas
Behavioral Health & Social Service Providers / Health 103TH0004X PY60406906 Washington

Profile Details

NPI number 1851543300
LBN Legal business name Fennell, Tiffanie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Jul 24th, 2015 - about 9 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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