Provider Demographics
NPI:1750911830
Name:MYERS, TIFFANY COLLETTE
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:COLLETTE
Last Name:MYERS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:C
Other - Last Name:DRISCOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 W EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-8780
Mailing Address - Country:US
Mailing Address - Phone:785-825-0541
Mailing Address - Fax:
Practice Address - Street 1:225 W EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-8780
Practice Address - Country:US
Practice Address - Phone:785-825-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03396103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist