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Individual
DR. TIFFANY SHANTEL GRIMES
Active
Individual
DR. TIFFANY SHANTEL GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35768
CA
103TC0700X
Clinical Psychologist
Primary
35768
CA
103TC1900X
Counseling Psychologist
35768
CA
103TH0004X
Health Psychologist
35768
CA
103TH0100X
Health Service Psychologist
35768
CA
103TP2701X
Group Psychotherapy Psychologist
35768
CA
Other
Enumeration date
07/11/2022
Last updated
03/31/2025
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