Individual
DR. TIFFANY EVE VASTARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6410 SW 57TH ST, DAVIE, FL 33314-7106
(954) 326-2795
Mailing address
5510 SW 44TH TER, FORT LAUDERDALE, FL 33314-6720
(954) 326-2795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH20180
FL
101YP2500X
Professional Counselor
Primary
IMH9278
FL
Other
Enumeration date
12/23/2020
Last updated
05/04/2026
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