Brandt-Tiven, Tabitha Ellen
Brandt-Tiven, Tabitha Ellen is an sole proprietor health care provider with primary practice located at 2415 Jerusalem Avenue Suite 100, North Bellmore NY 11710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brandt-Tiven, Tabitha Ellen can be contacted via phone (516) 713-3408.Contact Information
Primary practice address
2415 Jerusalem Avenue Suite 100
North Bellmore NY 11710
Phone: (516) 713-3408
Fax: (516) 221-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016770 | New York |
Profile Details
| NPI number | 1871635011 |
|---|---|
| LBN Legal business name | Brandt-Tiven, Tabitha Ellen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Sep 6th, 2012 - about 12 years 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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