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: |