Individual
TIFFANY JOHANNIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 VALLEY VIEW BLVD, ALTOONA, PA 16602-6080
(814) 944-9970
(814) 944-9974
Mailing address
1310 VALLEY VIEW BLVD, ALTOONA, PA 16602-6080
(814) 944-9970
(814) 944-9974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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