Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3176510 | OH |
NPI | 1013331826 |
---|---|
Provider Name | Dr. Tiffany Krise |
First Address | East Liverpool, OH 43920-2302 |
Second Address | East Liverpool, OH 43920-2302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2014 |
Last Update Date | 13/02/2014 |