Wallace, Tiffany Lynn

Wallace, Tiffany Lynn is an individual health care provider with primary practice located at 8623 N Wayne Road Hegira Programs Inc Ste 310, Westland MI 48185. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wallace, Tiffany Lynn can be contacted via phone (734) 425-0636.

Contact Information

Primary practice address
8623 N Wayne Road Hegira Programs Inc Ste 310 Westland MI 48185
Phone: (734) 425-0636
Fax: (734) 425-4771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301012514 Michigan

Profile Details

NPI number 1760586176
LBN Legal business name Wallace, Tiffany Lynn
Credentials MS LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 2007 - about 18 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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