Individual
TIFFANI PAIGE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Mailing address
2059 SANDPIPER PT NE APT 231, GRAND RAPIDS, MI 49505-6314
(205) 382-7991
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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