Individual
MRS. TIFFANY KRISTEN KALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
3150 EL CAMINO REAL STE E, CARLSBAD, CA 92008-2110
(760) 845-5803
Mailing address
3150 EL CAMINO REAL STE E, CARLSBAD, CA 92008-2110
(760) 845-5803
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP3544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1608338
N/A
CA
Enumeration date
12/01/2019
Last updated
03/10/2020
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