Tiffany J Shantie, CPS-P

NPI #1033627104 in Malone, New York

Provider Information

NPI Number: 1033627104
Entity Type: Individual
Name: Tiffany J Shantie, CPS-P
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPS-P
Enumeration Date: Jan 11, 2018
Last Updated: Jan 11, 2018

Practice Location

Address: 15 4TH ST
City: Malone
State: New York
ZIP Code: 12953-1340
Phone: (518) 481-8171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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