Individual
DR. TIFFANY RAE LOVE LONGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000982
DC
103TF0200X
Forensic Psychologist
PSY1000982
DC
103TP2701X
Group Psychotherapy Psychologist
PSY1000982
DC
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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