| Doctor Name: | TIFFANY LENGER |
| NPI Number: | 1073997367 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 13160 County Rd 3610 St. James, MO - 65559 |
| Business Phone Number: | 5738997124 |
| Business Fax Number: | |
| Mailing Address: | 1504 Red Oak Dr Apt A, ROLLA |
| State: | MO |
| Postal Code: | 65401 |
| Phone Number: | 6412263146 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2015 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |