Provider Demographics
NPI:1740705151
Name:WRIGHT, TIFFANY F
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:F
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 KENWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3435
Mailing Address - Country:US
Mailing Address - Phone:860-830-6488
Mailing Address - Fax:
Practice Address - Street 1:33 KENWOOD CIR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3435
Practice Address - Country:US
Practice Address - Phone:860-830-6488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker