Individual
DR. SALLY J TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
211 TALL OAK DR, NEW CUMBERLAND, PA 17070-2347
(717) 737-5200
(717) 737-5200
Mailing address
211 TALL OAK DR, NEW CUMBERLAND, PA 17070-2347
(717) 737-5200
(717) 737-5200
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
PS003041L
PA
106H00000X
Marriage & Family Therapist
MF000029
PA
Other
Enumeration date
11/16/2005
Last updated
12/30/2010
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