Provider Demographics
NPI:1962381681
Name:TUFF, QUENTESSA
Entity type:Individual
Prefix:
First Name:QUENTESSA
Middle Name:
Last Name:TUFF
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 1:1760 S TELEGRAPH RD STE 240
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0183
Mailing Address - Country:US
Mailing Address - Phone:248-256-5209
Mailing Address - Fax:248-239-1522
Practice Address - Street 1:1760 S TELEGRAPH RD STE 240
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0183
Practice Address - Country:US
Practice Address - Phone:248-256-5209
Practice Address - Fax:248-239-1522
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6362010219103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist