Individual
DR. TIFFANY IDALIA ADEIGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
PO BOX 156, KYLE, TX 78640-0156
(956) 266-6599
Mailing address
PO BOX 156, KYLE, TX 78640-0156
(956) 266-6599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39094
TX
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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