Individual
TIFFANY COLLEEN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 COUNTRY CLUB PKWY STE A, MAUMELLE, AR 72113-7048
(855) 284-7483
(617) 807-0958
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
202198
AR
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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