NPI 1003582552
Tiffany Godwin PHD
Practice location
- Address
- 15278 W Bell Rd STE 102, Surprise, AZ 85374-3100
- Phone
- (850) 739-2332
- Mailing address
- 15411 W Waddell Rd STE 102-1073, Surprise, AZ 85379-5170
Authorised official
- Name
- Tiffany Nicole Godwin
- Title
- Owner/Psychologist
- Phone
- (602) 799-2479
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1003582552
- Entity type
- Organization
- NPI issued
- 16 Aug 2021
- Record last updated
- 13 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.