Individual
TIFFANY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2833 TENNESSEE ST, VALLEJO, CA 94591-4948
(707) 556-8620
Mailing address
3093 BROADWAY UNIT 432, OAKLAND, CA 94611-5791
(805) 286-8436
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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