Individual
DR. TIFFANY AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LCP
Contact information
Practice address
9407 CUMBERLAND RD, NEW KENT, VA 23124-2029
(804) 966-2242
Mailing address
150 KINGS MANOR DR APT 9134, WILLIAMSBURG, VA 23185-3081
(337) 224-2151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008525
VA
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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