Individual
DR. TIANNA KYONG BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1330 WIN HENTSCHEL BLVD, WEST LAFAYETTE, IN 47906-4149
(765) 444-3999
Mailing address
1330 WIN HENTSCHEL BLVD, WEST LAFAYETTE, IN 47906-4149
(765) 444-3999
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
803
NE
Other
Enumeration date
08/20/2008
Last updated
11/01/2019
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