Organization
TIFINI A. ROBERTS, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFINI AUTUMN ROBERTS PSY.D. (PSYCHOLOGIST)
(417) 886-8540
Entity
Organization
Contact information
Practice address
2146 W CHESTERFIELD BLVD, STE. E202, SPRINGFIELD, MO 65807-8650
(417) 886-8540
(417) 886-8560
Mailing address
2146 W CHESTERFIELD BLVD, STE. E202, SPRINGFIELD, MO 65807-8650
(417) 886-8540
(417) 886-8560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2007015271
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497543900
—
MO
Enumeration date
03/18/2008
Last updated
02/20/2012
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