DR. Tiffany Marie Prather, PSYD

NPI #1003063090 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1003063090
Entity Type: Individual
Name: DR. Tiffany Marie Prather, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Counseling
Credential: PSYD
Enumeration Date: Aug 21, 2008
Last Updated: Aug 21, 2008

Practice Location

Address: 10045 W LISBON AVE
City: Wauwatosa
State: Wisconsin
ZIP Code: 53222-2446
Phone: (414) 358-7999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist - Counseling — Counseling	103TC1900X	Primary

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