Individual
TIFFANY D. DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP, BCBA, LBA
Contact information
Practice address
300 FOXGLOVE DR, MT STERLING, KY 40353-9769
(606) 329-8588
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
244268
KY
103TC0700X
Clinical Psychologist
Primary
162688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000646927
ANTHEM BCBS (NON PAR)
—
05
—
30610026
—
KY
Enumeration date
01/22/2010
Last updated
06/23/2025
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