Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Lin

Individual provider Psychologist · NPI 1104478536

Tiffany Lin is a Clinical Psychologist in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Shanon Harlow LLC, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

11144 Tesson Ferry Rd Ste 101
Saint Louis, MO 63123-6965
Phone: (314) 729-1200
Fax: (314) 729-1201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1104478536
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shanon Harlow Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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