Individual
TIFFANY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 STATE HIGHWAY 67, FLORENCE, CO 81226-9791
(719) 784-9464
Mailing address
PO BOX 8500, FLORENCE, CO 81226-8500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
36674
TX
103TC0700X
Clinical Psychologist
Primary
LP5008
MN
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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