TINA THACH

PHILADELPHIA, PA
NPI1508507856
Professional NameTINA L THACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP025735)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  RN635595)
Enumeration Date2022-04-01
Last Update Date2023-06-30
Business Address
TINA THACH PMHNP-BC
1930 S BROAD ST
PHILADELPHIA, PA 19145-2328
Phone number: 267-752-9203
Mailing Address
TINA THACH PMHNP-BC
1831 S NEWKIRK ST
PHILADELPHIA, PA 19145-1628
Phone number: 267-752-9203