Provider Demographics
NPI:1164103248
Name:PLAVCAN, TIFFANY (MS)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:PLAVCAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:ESHLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-1268
Mailing Address - Country:US
Mailing Address - Phone:717-806-5050
Mailing Address - Fax:717-806-5179
Practice Address - Street 1:215 E STATE ST
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1268
Practice Address - Country:US
Practice Address - Phone:717-806-5050
Practice Address - Fax:717-806-5179
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health