Derrick, Tiffany Ann

Derrick, Tiffany Ann is an sole proprietor health care provider with primary practice located at 4274 Cadiz Dr , Fort Worth TX 76133-5412. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Derrick, Tiffany Ann can be contacted via phone (817) 690-5196.

Contact Information

Primary practice address
4274 Cadiz Dr Fort Worth TX 76133-5412
Phone: (817) 690-5196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 62801 Texas

Profile Details

NPI number 1689888570
LBN Legal business name Derrick, Tiffany Ann
Credentials LPC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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