Individual
DR. TIFFANY KOENIGSAECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9601 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-7212
(253) 984-4158
Mailing address
13205 96TH AVENUE CT E, PUYALLUP, WA 98373-5528
(818) 298-9738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 60279425
WA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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