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NPI Code Detail

MEDICARE: DR. TIFFANI DEBRA STEVENSON LLOYD M.S., PHD, LCMFT

MEDICARE:  DR. TIFFANI DEBRA STEVENSON LLOYD  M.S., PHD, LCMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLCM556MD

General Provider Information

NPI Number : 1194019752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANI DEBRA STEVENSON LLOYD M.S., PHD, LCMFT
Provider Business Mailing Address
First Line : 3717 DECATUR AVE STE 1
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2148
Country : US
Telephone Number : 240-389-0403
Fax Number : 301-949-4972
Provider Business Practice Location Address
First Line : 3717 DECATUR AVE STE 1
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2148
Country : US
Telephone Number : 240-389-0403
Fax Number : 301-949-4972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 03/01/2016

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Directions to “ DR. TIFFANI DEBRA STEVENSON LLOYD M.S., PHD, LCMFT” Practice Location

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