Foster, Tiffany

Foster, Tiffany is an sole proprietor health care provider with primary practice located at 25350 Us Highway 19 N #286, Clearwater FL 33763-2146. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Foster, Tiffany can be contacted via phone (919) 633-3797.

Contact Information

Primary practice address
25350 Us Highway 19 N #286 Clearwater FL 33763-2146
Phone: (919) 633-3797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2868-A North Carolina

Profile Details

NPI number 1003176041
LBN Legal business name Foster, Tiffany
Credentials PHD, LCAS-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2012
Last updated Oct 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003176041 NPPES
North Carolina Other 12449225 CAQH

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