Provider Demographics
NPI:1770884934
Name:HOUCHINS, TIFFANY (BA, MAC, LAC)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:HOUCHINS
Suffix:
Gender:F
Credentials:BA, MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 KESWICK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2738
Mailing Address - Country:US
Mailing Address - Phone:443-538-9023
Mailing Address - Fax:
Practice Address - Street 1:1501 SULGRAVE AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3654
Practice Address - Country:US
Practice Address - Phone:410-542-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO1851171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist