| Tae I Shynn | |
|
121 S Prospect St Nanticoke PA 18634-2456 | |
| (570) 735-7590 | |
| (570) 735-0186 |
| Full Name | Tae I Shynn |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 121 S Prospect St, Nanticoke, Pennsylvania |
| Authorized Official Name and Position | Tae I Shynn (OWNER) |
| Authorized Official Contact | 5707357590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tae I Shynn 121 S Prospect St Nanticoke PA 18634-2456 Ph: (570) 735-7590 | Tae I Shynn 121 S Prospect St Nanticoke PA 18634-2456 Ph: (570) 735-7590 |
| NPI Number | 1124051784 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124051784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
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Northeast Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Washington St, Nanticoke, PA 18634 Phone: 570-735-7590 |