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TABITHA BRANDT-TIVEN, PHD-PSYCHOLOGIST, P.C.

Company Details

Name: TABITHA BRANDT-TIVEN, PHD-PSYCHOLOGIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Oct 2024 (8 months ago)
Entity Number: 7434984
ZIP code: 11357
County: Queens
Place of Formation: New York
Address: 17-23 UTOPIA PKWY., WHITESTONE, NY, United States, 11357

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE P.C. DOS Process Agent 17-23 UTOPIA PKWY., WHITESTONE, NY, United States, 11357

National Provider Identifier

NPI Number:
1255153698
Certification Date:
2024-10-28

Authorized Person:

Name:
DR. TABITHA BRANDT-TIVEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241004001574 2024-10-03 CERTIFICATE OF INCORPORATION 2024-10-03

Date of last update: 19 Mar 2025

Sources: New York Secretary of State