Provider Demographics
NPI:1972905636
Name:BITTING, TIFFANY MARIE (MS)
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:MARIE
Last Name:BITTING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27951 SMYTH DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4048
Mailing Address - Country:US
Mailing Address - Phone:661-367-1360
Mailing Address - Fax:
Practice Address - Street 1:27951 SMYTH DR
Practice Address - Street 2:SUITE 103
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4048
Practice Address - Country:US
Practice Address - Phone:661-367-1360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 74357106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist