Individual
TIFFANY NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2043 LOCUST ST, PHILADELPHIA, PA 19103-5662
(760) 954-9078
Mailing address
1834 FITZWATER ST, PHILADELPHIA, PA 19146-1853
(760) 954-9078
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018553
PA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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