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Individual

MS. TIFFANY ANN RUFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2301 HOLMES ST FL 6, KANSAS CITY, MO 64108-2677
(816) 404-4966
(816) 404-4021
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-5322
(816) 404-7225

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
2014027023
MO
103TH0004X
Health Psychologist
LP02998
KS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490015902
MO
Enumeration date
09/11/2012
Last updated
03/08/2022
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