Boards, Tiffany M
Boards, Tiffany M is an sole proprietor health care provider with primary practice located at 20411 W 12 Mile Rd Ste 208 , Southfield MI 48076-6405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boards, Tiffany M can be contacted via phone (734) 561-4102.Contact Information
Primary practice address
20411 W 12 Mile Rd Ste 208
Southfield MI 48076-6405
Phone: (734) 561-4102
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301013175 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301013175 | Michigan |
Profile Details
NPI number | 1154619161 |
---|---|
LBN Legal business name | Boards, Tiffany M |
Credentials | PSY.D LLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2011 |
Last updated | Jul 19th, 2024 - about 2 months ago |
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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