Individual
MR. THOMAS JAMES TIEFFENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,L.P.
Contact information
Practice address
801 N. 2ND STREET, SUITE 102, MANKATO, MN 56001-3373
(507) 381-7829
(507) 375-7405
Mailing address
417 11TH ST S, SAINT JAMES, MN 56081-2158
(507) 375-7405
(507) 375-7405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1176
MN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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