Tiffany Peterson, is a
Psychologist - Clinical based in Florence, Colorado. Tiffany Peterson is licensed to practice in Minnesota (license number LP5008) and her current practice location is
5880 State Highway 67, Florence, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 784-9464.
NPI number for Tiffany Peterson is 1467992164 and her current mailing address is Po Box 8500, Florence, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467992164.
Healthcare Provider's Profile
| Full Name | Tiffany Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 5880 State Highway 67, Florence, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467992164
- Provider Enumeration Date: 02/28/2017
- Last Update Date: 02/28/2017
Medical Identifiers
Medical identifiers for Tiffany Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467992164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | LP5008 (Minnesota) | Primary |
| 103TC0700X | Psychologist - Clinical | 36674 (Texas) | Secondary |
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. Tiffany Peterson 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 |
Tiffany Peterson, Po Box 8500, Florence, CO 81226-8500 Ph: () - | Tiffany Peterson, 5880 State Highway 67, Florence, CO 81226-9791 Ph: (719) 784-9464 |
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