Provider Demographics
NPI:1831789908
Name:DAYE-LEE, TIFFANY HELEN (DNP, MSN, CRNP PMHNP)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:HELEN
Last Name:DAYE-LEE
Suffix:
Gender:F
Credentials:DNP, MSN, CRNP PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MONUMENT RD
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1702
Mailing Address - Country:US
Mailing Address - Phone:610-765-1985
Mailing Address - Fax:800-507-0756
Practice Address - Street 1:150 MONUMENT RD
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1702
Practice Address - Country:US
Practice Address - Phone:610-765-1985
Practice Address - Fax:800-507-0756
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024846363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health