Tamires Tiburtino
Psychologist in New Haven, CT. Individual provider (NPI-1).
NPI number1053005702
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1053005702
- Entity type
- Individual (NPI-1)
- Name
- Tamires Tiburtino
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
55 Lock StNew Haven, CT 06511-3603
Phone 203-432-0290
Mailing address
133 Portsea St Unit 2New Haven, CT 06519-2219
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