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Organization
TABITHA BRANDT-TIVEN, PHD - PSYCHOLOGIST, P.C.
Active
Organization
TABITHA BRANDT-TIVEN, PHD - PSYCHOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TABITHA BRANDT-TIVEN PH.D. (PRESIDENT)
(516) 713-3408
Entity
Organization
Contact information
Practice address
111 7TH ST UNIT 111, GARDEN CITY, NY 11530-5709
(516) 713-3408
Mailing address
1723 UTOPIA PKWY, WHITESTONE, NY 11357-3347
(516) 713-3408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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