Dr. Tabitha Ellen Brandt-Tiven, Ph.D.
Psychologist in Garden City, NY. Individual provider (NPI-1).
NPI number1871635011
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1871635011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tabitha Ellen Brandt-Tiven
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2007
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 016770 | NY | Yes |
| 103TC0700X | Psychologist, Clinical | 016770 | NY |
Practice location
111 7th StreetSuite 111
Garden City, NY 11530
Phone 516-400-2969 · Fax 516-221-4709
Mailing address
17-23 Utopia ParkwayWhitestone, NY 11357
Phone 516-400-2969 · Fax 516-221-4709
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