Provider Demographics
NPI:1588463681
Name:SELLARS, TIFFANY (PHD)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:SELLARS
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7422 PEAR CT
Mailing Address - Street 2:
Mailing Address - City:WINTON
Mailing Address - State:CA
Mailing Address - Zip Code:95388-9429
Mailing Address - Country:US
Mailing Address - Phone:559-760-4080
Mailing Address - Fax:
Practice Address - Street 1:2503 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:CERES
Practice Address - State:CA
Practice Address - Zip Code:95307-3301
Practice Address - Country:US
Practice Address - Phone:209-556-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool