Tiffany Lanae Anderson, LGMFT
Individual provider Active NPI Marriage & Family Therapist · Baltimore, MD
NPI 1194387282 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1194387282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LGM530 (MD)
- Practice address
- 6810 Park Heights Ave Ste 5
Baltimore, MD 21215-1641 - Phone
- (443) 929-9937
- NPI assigned
- Jun 28, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGM530 | MD | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM530 | MD | Yes |
Addresses
Primary practice location
6810 Park Heights Ave Ste 5
Baltimore, MD 21215-1641
Mailing address
206 Seamaster Rd
Baltimore, MD 21221-5962
Phone (925) 325-5866
Other providers in Baltimore, MD
- Stephanie Vanessa Anderson
- Tanya Anderson
- Tasha Monique Anderson
- Teresa M Anderson
- Tiffany H Anderson
- Uta Michelle Anderson
- William Stanley Anderson
- Bernard W Andoh
- Michelle C Andoll
- Nikitta Ramonda Andoll
All providers in Baltimore, MD · Marriage & Family Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.