Individual
TIFFANY MAXWELL EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 60 BOX 2470, HAWORTH, OK 74740-9675
(580) 212-9925
Mailing address
HC 60 BOX 2470, HAWORTH, OK 74740-9675
(580) 212-9925
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
04/10/2009
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