Doctor Name: | TIFFANY NYGREN |
NPI Number: | 1073910261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BASE |
License Number: | |
Business Practice Address: | 4807 196th St Sw Suite 100 Lynnwood, WA - 980366430 |
Business Phone Number: | 4258355952 |
Business Fax Number: | |
Mailing Address: | 4807 196th St Sw, Suite 100 LYNNWOOD |
State: | WA |
Postal Code: | 980366430 |
Phone Number: | 4258355952 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |