Individual
DR. TIFFANI MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
305 W SOUTH 1ST ST, JOHNSTOWN, CO 80534-9086
(970) 231-2681
Mailing address
305 W SOUTH 1ST ST, JOHNSTOWN, CO 80534-9086
(970) 231-2681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
13664
CO
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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