Prather, Tiffany Marie
Prather, Tiffany Marie is an individual health care provider with primary practice located at 10045 W Lisbon Ave , Wauwatosa WI 53222-2446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Prather, Tiffany Marie can be contacted via phone (414) 358-7999.Contact Information
Primary practice address
10045 W Lisbon Ave
Wauwatosa WI 53222-2446
Phone: (414) 358-7999
Fax: (414) 358-7158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13162-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
| NPI number | 1003063090 |
|---|---|
| LBN Legal business name | Prather, Tiffany Marie |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Aug 21st, 2008 - about 17 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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