Whalio Doctors

NPI 1427420454

Tett's Consultant

Organisation Preferred Provider Organization Philadelphia, PA

Practice location

Address
1734 S Chadwick St, Philadelphia, PA 19145
Phone
(484) 300-8699

Authorised official

Name
Bernice B. Tett
Title
Behavior Specialist
Phone
(484) 300-8699

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence BH00589 (PA)

Registry record

NPI
1427420454
Entity type
Organization
NPI issued
29 Oct 2015
Record last updated
29 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.