Dr Tiffany Marie Prather, PSYD is a
Psychologist - Counseling based in Wauwatosa, Wisconsin. Dr Tiffany Marie Prather is licensed to practice in * (Not Available) (license number ) and her current practice location is
10045 W Lisbon Ave, Wauwatosa, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 358-7999.
NPI number for Dr Tiffany Marie Prather is 1003063090 and her current mailing address is 10045 W Lisbon Ave, Wauwatosa, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003063090.
Healthcare Provider's Profile
| Full Name | Dr Tiffany Marie Prather |
|---|
| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 10045 W Lisbon Ave, Wauwatosa, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003063090
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 08/21/2008
Medical Identifiers
Medical identifiers for Dr Tiffany Marie Prather such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003063090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13162-132 (Wisconsin) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | 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 Marie Prather 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 Marie Prather, PSYD
10045 W Lisbon Ave,
Wauwatosa, WI 53222-2446
Ph: (414) 358-7999 | Dr Tiffany Marie Prather, PSYD
10045 W Lisbon Ave,
Wauwatosa, WI 53222-2446
Ph: (414) 358-7999 |
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