Individual
MRS. TIFFANY NICHOLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Mailing address
16251 AMBIA CIR, WESTFIELD, IN 46074-8437
(317) 727-1876
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/09/2024
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