Individual
TIFFANY WYNDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
1312 WARBLER DR, FORNEY, TX 75126-7756
(760) 707-3337
Mailing address
PO BOX 2551, FORNEY, TX 75126-2551
(760) 707-3337
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08533
CBMT (CERTIFICATION BOARD FOR MUSIC THERAPISTS) NUMBER
—
Enumeration date
07/22/2014
Last updated
07/22/2014
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