Doctor Name: | TIFFANY I MEYERS |
NPI Number: | 1003131046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 83 E Shaw Ave Suite #102 Fresno, CA - 937107620 |
Business Phone Number: | 5592260167 |
Business Fax Number: | 5592261559 |
Mailing Address: | 5640 N Marty Ave Apt 179, FRESNO |
State: | CA |
Postal Code: | 937111562 |
Phone Number: | 5592859860 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |