Individual
TIFFANY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2022050042
MO
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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