Provider Demographics
NPI:1609901495
Name:WRIGHT, TIFFENY ANN (BS PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:TIFFENY
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:BS PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 NW COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-3413
Mailing Address - Country:US
Mailing Address - Phone:541-272-6722
Mailing Address - Fax:
Practice Address - Street 1:119 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3133
Practice Address - Country:US
Practice Address - Phone:541-265-8557
Practice Address - Fax:541-265-3237
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor