Individual
TIFFANI BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8408 N TALIAFERRO AVE, TAMPA, FL 33604-1643
(813) 701-4615
Mailing address
8408 N TALIAFERRO AVE, TAMPA, FL 33604-1643
(813) 701-4615
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
P1800012904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824387070
GUARDIAN ACCOUNTING GROUP LLC
FL
Enumeration date
04/19/2018
Last updated
04/19/2018
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