DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIFFANY HEATHER DICKMANN

MEDICARE: TIFFANY HEATHER DICKMANN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1396695953
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY HEATHER DICKMANN
Provider Business Mailing Address
First Line : 686 LESTER ST
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-5025
Country : US
Telephone Number : 573-686-1200
Fax Number :
Provider Business Practice Location Address
First Line : 686 LESTER ST
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-5025
Country : US
Telephone Number : 573-686-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

Similar Medicare Providers

1134099351 — CLARK GARLAND
Practice Location Address:
686 LESTER ST
POPLAR BLUFF, MO
63901-5025
Practice Phone: 573-873-6833
Practice Fax:
1114905346 — DEBRA S PRICE FNP
Practice Location Address:
686 LESTER ST
POPLAR BLUFF, MO
63901-5025
Practice Phone: 573-686-2411
Practice Fax: 573-778-7271
1235118928 — BENNIE N TILL MD
Practice Location Address:
686 LESTER ST
POPLAR BLUFF, MO
63901-5025
Practice Phone: 573-686-2411
Practice Fax: 573-686-8452
1730168592 — WENDELL H ELLIOTT MD
Practice Location Address:
686 LESTER ST
POPLAR BLUFF, MO
63901-5025
Practice Phone: 573-686-2411
Practice Fax: 573-686-8452
1649259409 — GARY W DAUSMANN MD
Practice Location Address:
686 LESTER ST
POPLAR BLUFF, MO
63901-5025
Practice Phone: 573-686-2411
Practice Fax: 573-686-8452
1457330219 — ELLIS R ODOM RPH
Practice Location Address:
686 LESTER ST
POPLAR BLUFF, MO
63901-5025
Practice Phone: 573-686-2411
Practice Fax: 573-686-8452

Directions to “ TIFFANY HEATHER DICKMANN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.