Individual
TABITHA ANN INTSCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5669 N ORACLE RD STE 2101, TUCSON, AZ 85704-3856
(520) 812-6565
(520) 326-8669
Mailing address
5669 N ORACLE RD STE 2101, TUCSON, AZ 85704-3856
(520) 812-6565
(520) 326-8669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15313
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455738
MHN
MD
01
—
522156095
AMERICAN PSYCH SYSTEM
MD
05
—
609550001
—
MD
05
—
609550004
—
MD
01
—
LM49EA
CAREFIRST
MD
01
—
R968
CAREFIRST FEDERAL
MD
Enumeration date
11/30/2007
Last updated
10/02/2020
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