Tiffany Lynn Wallace in Westland - Psychologist
Tiffany Lynn Wallace - NPI 1760586176
Tiffany Lynn Wallace is a Psychologist in Westland, Michigan. Tiffany Lynn Wallace practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tiffany Lynn Wallace is 1760586176. The last update date is 2007-07-08.
Tiffany Lynn Wallace's current location address is 8623 N Wayne Road, Westland, Michigan. You can contact this provider via phone number 7344250636 and fax number 7344254771. The mailing address for Tiffany Lynn Wallace is 8623 N Wayne Road, Westland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany Lynn Wallace |
|---|---|
| Address | 8623 N Wayne Road, Westland, Michigan |
| Phone Number | 7344250636 |
| Fax Number | 7344254771 |
| Sole Proprietor | N |
| Credentials | MS LLP |
NPI Number Detail
| NPI Number | 1760586176 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8623 N Wayne Road |
|---|---|
| City | Westland |
| State | Michigan (MI) |
| Post Code | 48185 |
| Phone Number | 7344250636 |
| Fax Number | 7344254771 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301012514 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tiffany Lynn Wallace?
The Tiffany Lynn Wallace has been issued the NPI (National Provider Identifier) 1760586176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tiffany Lynn Wallace's facilities are situated?
The facilities of Tiffany Lynn Wallace are physically located at the following address: 8623 N Wayne Road, Westland, MI, 48185.
What is Tiffany Lynn Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tiffany Lynn Wallace is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760586176 to Tiffany Lynn Wallace?
The Centers for Medicare & Medicaid Services assigned the 1760586176 to Tiffany Lynn Wallace on 2006-09-08.
As of what date were the details related to Tiffany Lynn Wallace most recently updated or revised?
The information pertaining to Tiffany Lynn Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.