Poulsen, Tiffani Ledel

Poulsen, Tiffani Ledel is an sole proprietor health care provider with primary practice located at 316 S Humboldt St , San Mateo CA 94401-3338. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Poulsen, Tiffani Ledel can be contacted via phone (650) 393-3134.

Contact Information

Primary practice address
316 S Humboldt St San Mateo CA 94401-3338
Phone: (650) 393-3134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY22864 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY22864 California

Profile Details

NPI number 1487991261
LBN Legal business name Poulsen, Tiffani Ledel
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2013
Last updated Jul 12th, 2017 - about 9 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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