Individual
DR. TIFFANY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
482 SPRINGFIELD AVE, SUMMIT, NJ 07901-2601
(808) 232-9010
Mailing address
75 PIKE DR APT 2B, WAYNE, NJ 07470-2479
(808) 232-9010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6058
NJ
Other
Enumeration date
03/12/2012
Last updated
02/04/2019
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