Qualls, Tanya M.

Qualls, Tanya M. is an individual health care provider with primary practice located at 113 W Wayne Ave , Wayne PA 19087-4099. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Qualls, Tanya M. can be contacted via phone (610) 687-6415.

Contact Information

Primary practice address
113 W Wayne Ave Wayne PA 19087-4099
Phone: (610) 687-6415
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC012607 Pennsylvania

Profile Details

NPI number 1497320089
LBN Legal business name Qualls, Tanya M.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 5 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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