| Doctor Name: | TIFFANY D. DIEHL |
| NPI Number: | 1033440557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPP |
| License Number: | 0931 |
| Business Practice Address: | 767 West Main Street West Liberty, KY - 414721019 |
| Business Phone Number: | 6067433139 |
| Business Fax Number: | 6067432720 |
| Mailing Address: | Po Box 790, ASHLAND |
| State: | KY |
| Postal Code: | 411050790 |
| Phone Number: | 6063298588 |
| Fax Number: | 6063298195 |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0931 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |