Dewitte, Tiffany

Dewitte, Tiffany is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dewitte, Tiffany can be contacted via phone (209) 468-7462.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-7462
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1023143245
LBN Legal business name Dewitte, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Oct 23rd, 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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