Individual ProviderTiffany CoxMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5400 Connecticut Ave Ste 108, La Mesa, CA 91942-1213(619) 719-1641PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Cox is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1306384193Provider TypeIndividualFull NameCox, TiffanyTitleDr.CredentialPSY.D., LMFTGenderFemaleSole ProprietorYesEnumeration Date2/1/2017Last Updated11/28/2023Contact InformationPractice LocationPractice Address5400 Connecticut Ave Ste 108, La Mesa, CA 91942-1213Phone(619) 719-1641FaxUnlisted FaxMailing LocationMailing Address5400 Connecticut Ave Ste 108, La Mesa, CA 91942-1213Phone(619) 719-1641FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense126862California