Dr. Tiffany Rose Mimms
Clinical Psychologist
1521 Corporate Way Ste 200
Sacramento
, California 95831-3891
Dr. Tiffany Rose Mimms
Clinical Psychologist
1521 Corporate Way Ste 200
Sacramento
, California 95831-3891
(916) 216-8433
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Tiffany Rose Mimms
- 7324 Souza Cir
- Sacramento, CA
- Zip : 95831-4737
- Phone : (916) 216-8433
Second Address
- Dr. Tiffany Rose Mimms
- 1521 Corporate Way Ste 200
- Sacramento, CA
- Zip : 95831-3891
- Phone : (916) 216-8433
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Is Dr. Tiffany Rose Mimms a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 21784 | CA |
| Y | 103TC0700X | Clinical Psychologist | 21784 | CA |
National Provider Identifier
| NPI | 1013162809 |
|---|---|
| Provider Name | Dr. Tiffany Rose Mimms |
| First Address | Sacramento, CA 95831-4737 |
| Second Address | Sacramento, CA 95831-3891 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2008 |
| Last Update Date | 20/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.