MEDICARE: TIFFANY G. PRICE

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1811294184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY G. PRICE

Provider Business Mailing Address
First Line	:	PO BOX 892464
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73189-2464
Country	:	US
Telephone Number	:	405-887-9984
Fax Number	:	888-875-1829

Provider Business Practice Location Address
First Line	:	5350 S WESTERN AVE STE 524
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-4536
Country	:	US
Telephone Number	:	405-314-4865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	01/07/2021

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Directions to “ TIFFANY G. PRICE ” Practice Location

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