Most Relevant Information
Provider Data
| NPI Number: | 1003581349 |
| Provider Name: | TIFFANY CATRICE JENKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 1198026 |
Most Important Dates
| Enumeration Date: | 08/10/2021 |
| Last Updated: | 08/30/2021 |
Provider Practice Location
3999 8TH ST SE
WASHINGTON
DC
200323734
Practice Location Phone/Fax
| Phone: | 2025629170 |
| Fax: |
Provider Mailing Location
3110 MOUNT VERNON AVE APT 1007
ALEXANDRIA
VA
223052651
Provider Mailing Phone/Fax
| Phone: | 2014075766 |
| Fax: |