Provider Demographics
NPI:1497902134
Name:TEPPER, TIFFANY N (LCSW)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:TEPPER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:N
Other - Last Name:PINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3540 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7012
Mailing Address - Country:US
Mailing Address - Phone:469-854-9939
Mailing Address - Fax:
Practice Address - Street 1:3540 14TH ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7012
Practice Address - Country:US
Practice Address - Phone:469-854-9939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical