Provider Demographics
NPI:1861789117
Name:WASHINGTON, TIFFANI LYNEE BELL (MD)
Entity type:Individual
Prefix:DR
First Name:TIFFANI
Middle Name:LYNEE BELL
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TIFFANI
Other - Middle Name:LYNEE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 743009
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3009
Mailing Address - Country:US
Mailing Address - Phone:336-586-3795
Mailing Address - Fax:336-586-3778
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2014-001092083B0002X, 2084P0800X
MA2942532083B0002X, 2084P0804X
GA854362084P0804X
VA01160271102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry