Bascom, Tiffany Ann

Bascom, Tiffany Ann is an individual health care provider with primary practice located at 2520 S 5Th Ave , Pocatello ID 83204-1923. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bascom, Tiffany Ann can be contacted via phone (208) 233-5433.

Contact Information

Primary practice address
2520 S 5Th Ave Pocatello ID 83204-1923
Phone: (208) 233-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-3801 Idaho

Profile Details

NPI number 1487701058
LBN Legal business name Bascom, Tiffany Ann
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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