Mckenzie, Tiffany Jacqueline

Mckenzie, Tiffany Jacqueline is an individual health care provider with primary practice located at 8390 Six Forks Rd Suite #201, Raleigh NC 27615-3060. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mckenzie, Tiffany Jacqueline can be contacted via phone (919) 782-8730.

Contact Information

Primary practice address
8390 Six Forks Rd Suite #201 Raleigh NC 27615-3060
Phone: (919) 782-8730
Fax: (919) 782-8731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2424 North Carolina

Profile Details

NPI number 1467519082
LBN Legal business name Mckenzie, Tiffany Jacqueline
Credentials MA, LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 3rd, 2009 - about 16 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 1467519082 NPPES
North Carolina MEDICAID 6107128

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