Individual
DR. CAROLINE TERESA TISOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1421 SE 4TH AVE, FORT LAUDERDALE, FL 33316-1940
(954) 766-4955
Mailing address
1104 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1232
(267) 756-3007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016658
PA
103T00000X
Psychologist
Primary
PY11425
FL
Other
Enumeration date
11/14/2009
Last updated
05/25/2022
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