Healthcare Provider Details

I. General information

NPI: 1376476705
Provider Name (Legal Business Name): TIFFANY GRIFFITHS PSYD AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 WYOMING AVE
KINGSTON PA
18704-3603
US

IV. Provider business mailing address

470 WYOMING AVE
KINGSTON PA
18704-3603
US

V. Phone/Fax

Practice location:
  • Phone: 570-342-8434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA ROSS
Title or Position: CLINICIAN
Credential:
Phone: 570-307-9040