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Individual

DR. TIFFANY M BOARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D LLP

Contact information

Practice address
20411 W 12 MILE RD STE 208, SOUTHFIELD, MI 48076-6405
(734) 561-4102
Mailing address
1120 CHICAGO BLVD, DETROIT, MI 48202-1419
(313) 282-9782

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018852
MI
103TC1900X
Counseling Psychologist
6301018852
MI

Other

Enumeration date
07/12/2011
Last updated
07/29/2024
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