| Doctor Name: | DR. TIFFANY DEVICA SANDERS |
| NPI Number: | 1174776447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 235591 |
| Business Practice Address: | 2225 Enterprise Dr 2515 Westchester, IL - 601545814 |
| Business Phone Number: | 7082238405 |
| Business Fax Number: | |
| Mailing Address: | 1405 N Harlem Ave, B OAK PARK |
| State: | IL |
| Postal Code: | 603021257 |
| Phone Number: | 7082238405 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 235591 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |