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Individual

DR. TIFFANY DEVICA SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2225 ENTERPRISE DR, 2515, WESTCHESTER, IL 60154-5814
(708) 223-8405
Mailing address
1405 N HARLEM AVE, B, OAK PARK, IL 60302-1257
(708) 223-8405

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
071-007847
IL
103TC2200X
Clinical Child & Adolescent Psychologist
103TS0200X
School Psychologist
235591
IL

Other

Enumeration date
10/29/2008
Last updated
06/03/2016
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