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NPI 1053039552

NPI 1053039552 : TIFFANY HUSEMAN PSYD : YONKERS, NY

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General NPI Number Information
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    NPI Number           |    1053039552
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    Entity Type          |    Individual 
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    Provider Name        |    TIFFANY HUSEMAN PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2022
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    487 S BROADWAY 
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10705-3269
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    Country              |    US
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    Telephone            |    914-423-4433
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    Fax                  |    914-423-4433
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Provider Business Mailing Address
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    Address Line         |    845 N BROADWAY 
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    City                 |    WHITE PLAINS
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    State                |    NY
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    Zip                  |    10603-2403
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    Country              |    US
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    Telephone            |    914-761-0600
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    Fax                  |    914-761-5367
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    027531
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    License Number State |    NY
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