Most Relevant Information
Provider Data
NPI Number: | 1003554262 |
Provider Name: | TIFFANY FORBIS PH.D. |
Entity Type: | Individual |
Taxonomy Code: | 103TS0200X |
Specialty: | Psychologist |
License Number: |
Most Important Dates
Enumeration Date: | 05/26/2022 |
Last Updated: | 05/26/2022 |
Provider Practice Location
121 N 5TH ST W
RIVERTON
WY
825013453
Practice Location Phone/Fax
Phone: | 3078565250 |
Fax: |
Provider Mailing Location
121 N 5TH ST W
RIVERTON
WY
825013453
Provider Mailing Phone/Fax
Phone: | 3078565250 |
Fax: |