Individual
TIFFANY MELISSA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W MAIN ST, TOMBALL, TX 77375-5522
(917) 651-6474
Mailing address
22019 GOLDEN CEDAR DR, CYPRESS, TX 77433-4647
(917) 651-6474
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37633
TX
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/17/2014
Last updated
09/21/2021
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