Individual
TIFFANY CHANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3900 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(844) 234-8387
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(844) 234-8387
(856) 429-4755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NJDCATEMP-025701
NJ
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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