Ketisch, Tanja
Ketisch, Tanja is an sole proprietor health care provider with primary practice located at 1160 Wing St , Atlanta GA 30350-2953. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ketisch, Tanja can be contacted via phone (404) 423-5410.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1939 | Alabama |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY004088 | Georgia |
Profile Details
| NPI number | 1568844835 |
|---|---|
| LBN Legal business name | Ketisch, Tanja |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2015 |
| Last updated | Jan 4th, 2025 - about last year |
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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