Provider Demographics
NPI:1831865518
Name:LONGENBERGER, TIFFANY N (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:LONGENBERGER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:N
Other - Last Name:MARASIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-1016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:38 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1049
Practice Address - Country:US
Practice Address - Phone:484-513-3793
Practice Address - Fax:484-509-5122
Is Sole Proprietor?:No
Enumeration Date:2021-08-21
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024219363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health