Provider Demographics
NPI:1184009938
Name:HORNSBY, TIFFANY (PHD, LCP)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:HORNSBY
Suffix:
Gender:F
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 ALUMNAE DR # 7401
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1013
Mailing Address - Country:US
Mailing Address - Phone:540-568-3358
Mailing Address - Fax:
Practice Address - Street 1:70 ALUMNAE DR # 7401
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1013
Practice Address - Country:US
Practice Address - Phone:540-568-3358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007902103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110026265EMedicaid