Tiffany Rae Love Longman, PSY.D.
Individual provider Active NPI Clinical Psychologist · Washington, DC
NPI 1487059226 · NPPES record last updated Oct 22, 2014
Key facts
- NPI
- 1487059226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY1000982 (DC)
- Practice address
- 1327 18TH St NW
Washington, DC 20036-6516 - Phone
- (408) 234-9384
- NPI assigned
- Oct 22, 2014
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000982 | DC | MD | Group Psychotherapy Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000982 | DC | Yes |
| Forensic Psychologist | 103TF0200X | PSY1000982 | DC | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY1000982 | DC |
Addresses
Primary practice location
1327 18TH St NW
Washington, DC 20036-6516
Mailing address
1327 18TH St NW
Washington, DC 20036-6516
Phone (408) 234-9384
Other providers in Washington, DC
- Christos Constantin Loukaitis
- Rohani Loutan
- Rebecca Louve Yao
- Love and Wellness, LLC
- Love First PLLC
- Love Your Life Healthcare Inc
- Love Your Life Healthcare, Inc
- Devita Love
- Dewayne Love
- Diamond Love
All providers in Washington, DC · Clinical Psychologist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2014. 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.