Individual
TIFFANY AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 842-9956
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 842-9956
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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