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NPI Code Detail

MEDICARE: DR. TIFFANY PAIGE THOMPSON LMFT, PHD, REEGT,

MEDICARE: DR. TIFFANY PAIGE THOMPSON LMFT, PHD, REEGT,
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 TherapistLMFT89425CA
2103TH0004XHealth PsychologistPSY17334CA

General Provider Information

NPI Number : 1700242070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY PAIGE THOMPSON LMFT, PHD, REEGT,
Provider Business Mailing Address
First Line : 535 E MONTECITO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-3216
Country : US
Telephone Number : 301-502-0211
Fax Number :
Provider Business Practice Location Address
First Line : 1836 STATE ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-2420
Country : US
Telephone Number : 301-502-0211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2016
Last Update Date : 07/21/2022

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