| Tai | |
|
6649 Germantown Ave Philadelphia PA 19119-2251 | |
| (215) 552-8900 | |
| (215) 552-8997 |
| Full Name | Tai |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6649 Germantown Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Anne Mbette (PRESIDENT) |
| Authorized Official Contact | 2155528900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tai 6011 Bingham St B2 Philadelphia PA 19111-5776 Ph: (215) 552-8900 | Tai 6649 Germantown Ave Philadelphia PA 19119-2251 Ph: (215) 552-8900 |
| NPI Number | 1417137506 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417137506 | NPI | - | NPPES |
| PC004425 | Other | PA | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC004425 (Pennsylvania) | Primary |
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