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NPI Code Detail

MEDICARE: TIFFANY TOTAH MFT

MEDICARE:   TIFFANY  TOTAH  MFT
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 Therapist46260CA

General Provider Information

NPI Number : 1629196357
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY TOTAH MFT
Provider Business Mailing Address
First Line : 303 N GLENOAKS BLVD STE 200
Second Line :
City : BURBANK
State : CA
Zip : 91502-1118
Country : US
Telephone Number : 650-569-0447
Fax Number :
Provider Business Practice Location Address
First Line : 303 N GLENOAKS BLVD STE 200
Second Line :
City : BURBANK
State : CA
Zip : 91502-1118
Country : US
Telephone Number : 650-569-0447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 04/11/2024

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Directions to “ TIFFANY TOTAH MFT” Practice Location

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