TIFFANY STATHAM
Developmental Therapist
Active
Individual
NPI: 1689553075
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | No | - |
| Developmental Therapist | 222Q00000X | Yes | - |
Frequently Asked Questions
NPI 1689553075 is the National Provider Identifier for TIFFANY STATHAM, a Developmental Therapist provider located in Pocatello, ID. This NPI was enumerated on August 29, 2025.
TIFFANY STATHAM practices at 737 W WHITMAN ST, Pocatello, ID 83204.
Quick Facts
- NPI
- 1689553075
- Type
- Individual
- Enumerated
- Aug 29, 2025
- Last Updated
- Sep 2, 2025
Nearby Providers
-
AMANDA MINOR, LPC
Counselor - Professional
-
BRIAN HANSEN, DO
Family Medicine
-
DR. PAUL OTTO, PHARM.D.
Pharmacist
-
AMY CHRISTENSEN LCPC LLC
Counselor - Mental Health
-
JON MALAN, DO
Family Medicine