Provider Demographics
NPI:1700242070
Name:THOMPSON, TIFFANY PAIGE (LMFT, PHD, REEGT,)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:PAIGE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMFT, PHD, REEGT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 E MONTECITO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3216
Mailing Address - Country:US
Mailing Address - Phone:301-502-0211
Mailing Address - Fax:
Practice Address - Street 1:1836 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2420
Practice Address - Country:US
Practice Address - Phone:301-502-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT89425106H00000X
CAPSY17334103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist