Tiffani Ann Keller
Rehabilitation Psychologist
1817 W Gore Blvd
Lawton
, Oklahoma 73501-3614
Tiffani Ann Keller
Rehabilitation Psychologist
1817 W Gore Blvd
Lawton
, Oklahoma 73501-3614
(580) 483-5760
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Tiffani Ann Keller
- 1612 Nw Lincoln Ave
- Lawton, OK
- Zip : 73507-2957
- Phone : (580) 483-5760
Second Address
- Tiffani Ann Keller
- 1817 W Gore Blvd
- Lawton, OK
- Zip : 73501-3614
- Fax : (580) 357-3867
- Phone : (580) 357-3857
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist | OK |
National Provider Identifier
| NPI | 1740536721 |
|---|---|
| Provider Name | Tiffani Ann Keller |
| First Address | Lawton, OK 73507-2957 |
| Second Address | Lawton, OK 73501-3614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2012 |
| Last Update Date | 27/07/2012 |
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.