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NPI Code Detail

MEDICARE: DR. TIFFANY ARTIME PH.D.

MEDICARE: DR. TIFFANY ARTIME PH.D.
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
1103T00000XPsychologistPY 60461645WA

General Provider Information

NPI Number : 1548641756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY ARTIME PH.D.
Provider Business Mailing Address
First Line : 2002 65TH AVE W
Second Line :
City : FIRCREST
State : WA
Zip : 98466-6200
Country : US
Telephone Number : 253-566-5559
Fax Number : 253-565-0274
Provider Business Practice Location Address
First Line : 2002 65TH AVE W
Second Line :
City : FIRCREST
State : WA
Zip : 98466-6200
Country : US
Telephone Number : 253-566-5559
Fax Number : 253-565-0274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2015
Last Update Date : 06/12/2015

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Directions to “ DR. TIFFANY ARTIME PH.D.” Practice Location

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