Individual
DR. TIFFANY R GLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-7792
Mailing address
ONE BOWDOIN SQUARE, 9TH FLOOR, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY10000482
MA
103TC0700X
Clinical Psychologist
Primary
PSY10000482
MA
103TH0004X
Health Psychologist
PSY10000482
MA
Other
Enumeration date
03/31/2021
Last updated
06/16/2025
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