NPI 1912791559
Tyesha Shaddi
Practice location
- Address
- 417 Avocet Sea Ln, McDonough, GA 30253-4252
- Phone
- (770) 685-8233
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1912791559
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Apr 2025
- Record last updated
- 8 Apr 2025
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.