Individual
DR. TANYA RENE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
881 3RD ST, STE C3, WHITEHALL, PA 18052-5930
(484) 547-6645
Mailing address
1151 JORDAN BLVD, WHITEHALL, PA 18052-5227
(484) 547-6645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016512
PA
Other
Enumeration date
10/19/2008
Last updated
06/12/2025
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