NPI 1003063090

Tiffany Marie Prather, PSYD

Practitioner Counseling Psychologist Wauwatosa, WI

Practice location

Address: 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446
Phone: (414) 358-7999
Fax: (414) 358-7158

Registered specialties (2)

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X

Other Psychologist providers in Wisconsin →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 13162-132 (WI)

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Registry record

NPI: 1003063090
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2008
Record last updated: 21 Aug 2008

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.