| Organization Name: | TIFFANY MOHN PSYCHOLOGY LLC |
| NPI Number: | 1124368451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIFFANY MOHN (OWNER) |
| Mailing Address: | 6715 Tippecanoe Rd Bldg D Suite 100 Canfield |
| State: | OH US |
| Postal Code: | 444068180 |
| Phone Number: | 3305331870 |
| Fax Number: | 3305333484 |
| NPI Enumeration Date: | 02/23/2013 |
| NPI Last Update Date: | 02/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |