Organization
TETT'S CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNICE B. TETT LICENSED (BEHAVIOR SPECIALIST)
(484) 300-8699
Entity
Organization
Contact information
Practice address
1734 S CHADWICK ST, PHILADELPHIA, PA 19145
(484) 300-8699
Mailing address
1734 S CHADWICK ST, PHILADELPHIA, PA 19145
(484) 300-8699
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
BH00589
PA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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