Provider Demographics
NPI:1831643097
Name:RUELAZ, TIFFANY (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:RUELAZ
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:DEVOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 68485
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-8485
Mailing Address - Country:US
Mailing Address - Phone:480-276-3232
Mailing Address - Fax:
Practice Address - Street 1:7440 N ORACLE RD BLDG 7
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6371
Practice Address - Country:US
Practice Address - Phone:520-276-6893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178011399101YP2500X
IL208000434106H00000X
AZLPC-19125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty