Tiller, Michelle Bane

Tiller, Michelle Bane is an individual health care provider with primary practice located at 3777 Route 130 Suite 2 , Harrison City PA 15636-1260. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tiller, Michelle Bane can be contacted via phone (412) 378-1058.

Contact Information

Primary practice address
3777 Route 130 Suite 2 Harrison City PA 15636-1260
Phone: (412) 378-1058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS015111 Pennsylvania

Profile Details

NPI number 1619082476
LBN Legal business name Tiller, Michelle Bane
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619082476 NPPES
Pennsylvania MEDICAID SA056569

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