NPI 1114735198

Tarris Pondexter

Practitioner Peer Specialist Pittsburgh, PA

Practice location

Address: 5231 Penn Ave, Pittsburgh, PA 15224-1768
Phone: (412) 721-4493

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 18599 (PA)

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Registry record

NPI: 1114735198
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2024
Record last updated: 23 Dec 2024

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.