Individual
TIFFANY T ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TIFFANY
Contact information
Practice address
1313 PACIFIC TERRACE DR, LAS VEGAS, NV 89128-0503
(702) 372-4624
Mailing address
1313 PACIFIC TERRACE DR, LAS VEGAS, NV 89128-0503
(702) 372-4624
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
225400000X
NV
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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