Tiffany Derksen, TLLP

NPI #1104477652 in Brighton, Michigan

Provider Information

NPI Number: 1104477652
Entity Type: Individual
Name: Tiffany Derksen, TLLP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: TLLP
Enumeration Date: Sep 26, 2019
Last Updated: Sep 26, 2019

Practice Location

Address: 7305 GRAND RIVER RD STE 300
City: Brighton
State: Michigan
ZIP Code: 48114-7378
Phone: (734) 961-7196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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