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
Health care specialties
| Specialty | Code | License # | 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 2 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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