SearchTexas101Y00000X

Tiffany Derrick, LPC-I

NPI 1689888570 · on the registry since 2007 · sole proprietor

Practice

Address
4274 Cadiz Dr
Fort Worth, TX 76133
Phone
(817) 690-5196

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas