Individual
BETHANIE PAIGE TINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., PLPC
Contact information
Practice address
60 LOUIS PRIMA DR STE A, COVINGTON, LA 70433
(985) 327-5427
Mailing address
8382 WESTSHORE DR APT D121, COVINGTON, LA 70433-9222
(985) 705-8724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
7455
LA
Other
Enumeration date
06/13/2018
Last updated
08/14/2018
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