IndividualActive
Tiffany Prather, PSYD
NPI 1003063090 · Counseling Psychologist · Wauwatosa, WI
Provider details
- NPI number
- 1003063090
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 13162-132 (WI)
Practice location
10045 W Lisbon Ave
Wauwatosa, WI 53222-2446
Phone: (414) 358-7999
Fax: (414) 358-7158
Mailing address
10045 W Lisbon Ave
Wauwatosa, WI 53222-2446
Registry dates
- Enumerated
- 2008-08-21
- Last updated
- 2008-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.