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General NPI Number Information
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NPI Number | 1164968541
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Entity Type | Individual
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Provider Name | TIFFANY DEL FIERRO ATR-BC, LCAT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 55 MAIN ST SUITE 6
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City | GOSHEN
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State | NY
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Zip | 10924-2100
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Country | US
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Telephone | 401-229-4278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 302
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City | HIGHLAND MILLS
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State | NY
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Zip | 10930-0302
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Country | US
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Telephone | 401-229-4278
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Fax |
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 001696-1
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License Number State | NY
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