Tiffany Amber Brakefield

NPI #1811253222 in Hill Afb, Utah

Provider Information

NPI Number: 1811253222
Entity Type: Individual
Name: Tiffany Amber Brakefield
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 10, 2012
Last Updated: Jun 12, 2019

Practice Location

Address: 7309 BALMER ST BLDG 545
City: Hill Afb
State: Utah
ZIP Code: 84056
Phone: (801) 777-7909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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