Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY GILMORE RANDELL, PSY.D.
Active Sole ProprietorTIFFANY GILMORE RANDELL, PSY.D. is a Child, Clinical Psychologist healthcare provider located in FAYETTEVILLE, Georgia. NPI 1245655893 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1245655893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2014 (12.473353689225 yrs)
- Last Updated
- Feb 19, 2014
- License
-
PSY00365 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 DEVANT STREET,OFFICE 401FAYETTEVILLE, GA, 30214Browse GA providers · Browse ZIP 30214
- Phone
- 4045855439
- Fax
- 6788020398
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.