| Tabitha Intschert, Lcsw, Pyt, Pllc | |
|
5669 N Oracle Rd Ste 2101 Tucson AZ 85704-3856 | |
| (520) 812-6565 | |
| (520) 326-8669 |
| Full Name | Tabitha Intschert, Lcsw, Pyt, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5669 N Oracle Rd Ste 2101, Tucson, Arizona |
| Authorized Official Name and Position | Tabitha Intschert (LCSW) |
| Authorized Official Contact | 5208126565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Intschert, Lcsw, Pyt, Pllc 5669 N Oracle Road Suite 2101 Tucson AZ 85704 Ph: (520) 812-6565 | Tabitha Intschert, Lcsw, Pyt, Pllc 5669 N Oracle Rd Ste 2101 Tucson AZ 85704-3856 Ph: (520) 812-6565 |
| NPI Number | 1386199164 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Medicare PECOS PAC ID | 8224317565 |
|---|---|
| Medicare Enrollment ID | O20161109001816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386199164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (ZZ) | Primary |
| Provider Name | Tabitha Ann Intschert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235311390 PECOS PAC ID: 8022157742 Enrollment ID: I20141027002246 |
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