Doctor Name: | TIFFANY VOGT |
NPI Number: | 1487082491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 1375 Gilway Ext. Holly Hill, SC - 290590505 |
Business Phone Number: | 8034963410 |
Business Fax Number: | 8034969185 |
Mailing Address: | Po Box 505, 1375 Gilway Ext HOLLY HILL |
State: | SC |
Postal Code: | 290590505 |
Phone Number: | 8034963410 |
Fax Number: | 8034969185 |
NPI Enumeration Date: | 10/30/2013 |
NPI Last Update Date: | 10/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |