Individual
TIFFANY MARY JANINA RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 517-1118
Mailing address
3333 BURNET AVE ML 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2021
Last updated
07/27/2021
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