Smith, Tiffany

Smith, Tiffany is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Tiffany can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 638-4950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1013198316
LBN Legal business name Smith, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Nov 15th, 2007 - 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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