Individual
TIFFANY R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1500 WALNUT ST STE 300, PHILADELPHIA, PA 19102-3502
(215) 850-4457
Mailing address
7721 WAGNER WAY APT A, ELKINS PARK, PA 19027-1027
(215) 850-4457
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001005
PA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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