Individual
DR. TIFFANY J NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, HSPP
Contact information
Practice address
2805 E 10TH ST STE 170, BLOOMINGTON, IN 47408-2619
(812) 856-1602
(812) 856-1601
Mailing address
2805 E 10TH ST STE 170, BLOOMINGTON, IN 47408-2619
(812) 856-1602
(812) 856-1601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20043898A
IN
103TH0004X
Health Psychologist
Primary
20043898B
IN
103TS0200X
School Psychologist
000046473
IN
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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