Dr Tiffany Nycole Lara, PSYD is a
Psychologist - Clinical based in Streamwood, Illinois. Dr Tiffany Nycole Lara is licensed to practice in Illinois (license number 071008128) and her current practice location is
1400 E Irving Park Rd, Streamwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 837-9000.
NPI number for Dr Tiffany Nycole Lara is 1962801803 and her current mailing address is 1400 E Irving Park Rd, Streamwood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962801803.
Healthcare Provider's Profile
Full Name | Dr Tiffany Nycole Lara |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1400 E Irving Park Rd, Streamwood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962801803
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 08/15/2014
Medical Identifiers
Medical identifiers for Dr Tiffany Nycole Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962801803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071008128 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tiffany Nycole Lara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tiffany Nycole Lara, PSYD 1400 E Irving Park Rd, Streamwood, IL 60107-3201 Ph: () - | Dr Tiffany Nycole Lara, PSYD 1400 E Irving Park Rd, Streamwood, IL 60107-3201 Ph: (630) 837-9000 |
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