SearchIllinois164W00000X

Tiffany Roller

NPI 1952705329 · on the registry since 2014

Practice

Address
607 Buchanan St
Carthage, IL 62321
Phone
(217) 357-3176
Fax
(217) 357-6609
Organisation at this address
Mental Health Centers Of Western Illinois
Mental Health Centers Of Western Illinois
Mental Health Centers Of Western Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-14

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 Illinois