Individual
TIFFANIE FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCH
Contact information
Practice address
PO BOX 182, BOULDER CREEK, CA 95006-0182
(831) 247-0476
Mailing address
PO BOX 182, BOULDER CREEK, CA 95006-0182
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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