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1922106715
PHILLIP J. TIETBOHL
WYOMISSING, PA
NPI
1922106715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: PA PS008196L)
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2006-09-20
Last Update Date
2020-02-03
Business Address
DR. PHILLIP J. TIETBOHL PH.D.
232 LOGAN AVE
WYOMISSING, PA 19610-2673
Phone number: 610-741-9776
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Mailing Address
DR. PHILLIP J. TIETBOHL PH.D.
232 LOGAN AVE
WYOMISSING, PA 19610-2673
Phone number: 610-413-1739
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