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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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