Provider Demographics
NPI:1093603003
Name:TOUCHSTONE, TIFFANY
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:TOUCHSTONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:TUPMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93276-0129
Mailing Address - Country:US
Mailing Address - Phone:661-765-7431
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 129
Practice Address - Street 2:
Practice Address - City:TUPMAN
Practice Address - State:CA
Practice Address - Zip Code:93276-0129
Practice Address - Country:US
Practice Address - Phone:661-765-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool