Dr. Tiffany Abrego
Clinical Child & Adolescent Psychologist
900 Main St Ste 720
Peoria
, Illinois 61602-5027
Dr. Tiffany Abrego
Clinical Child & Adolescent Psychologist
900 Main St Ste 720
Peoria
, Illinois 61602-5027
(313) 831-5355
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Tiffany Abrego
- 79 W Alexandrine St
- Detroit, MI
- Zip : 48201-2015
- Phone : (313) 831-5355
Second Address
- Dr. Tiffany Abrego
- 900 Main St Ste 720
- Peoria, IL
- Zip : 61602-5027
- Phone : (309) 495-1640
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 071.009388 | IL |
National Provider Identifier
| NPI | 1114320413 |
|---|---|
| Provider Name | Dr. Tiffany Abrego |
| First Address | Detroit, MI 48201-2015 |
| Second Address | Peoria, IL 61602-5027 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2014 |
| Last Update Date | 11/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 071.009388 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.