| Tabitha Brandt-tiven, Phd - Psychologist, P.c. | |
|
111 7th St Unit 111 Garden City NY 11530-5709 | |
| (516) 713-3408 | |
| Not Available |
| Full Name | Tabitha Brandt-tiven, Phd - Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 111 7th St Unit 111, Garden City, New York |
| Authorized Official Name and Position | Tabitha Brandt-tiven (PRESIDENT) |
| Authorized Official Contact | 5167133408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Brandt-tiven, Phd - Psychologist, P.c. 1723 Utopia Pkwy Whitestone NY 11357-3347 Ph: (516) 713-3408 | Tabitha Brandt-tiven, Phd - Psychologist, P.c. 111 7th St Unit 111 Garden City NY 11530-5709 Ph: (516) 713-3408 |
| NPI Number | 1255153698 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255153698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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