PHILLIP J. TIETBOHL

WYOMISSING, PA
NPI1922106715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS008196L)
Additional Taxonomies103T00000X Psychologist
Enumeration Date2006-09-20
Last Update Date2020-02-03
Business Address
Dr. PHILLIP J. TIETBOHL Ph.D.
232 LOGAN AVE
WYOMISSING, PA 19610-2673
Phone number: 610-741-9776
Mailing Address
Dr. PHILLIP J. TIETBOHL Ph.D.
232 LOGAN AVE
WYOMISSING, PA 19610-2673
Phone number: 610-413-1739