| Tag Inspires | |
|
309 W Glenside Ave Glenside PA 19038-3313 | |
| (215) 558-5616 | |
| (215) 242-2051 |
| Full Name | Tag Inspires |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 309 W Glenside Ave, Glenside, Pennsylvania |
| Authorized Official Name and Position | Taniek A Gentles (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7189747885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tag Inspires 1810 68th Ave Philadelphia PA 19126-2626 Ph: (718) 974-7885 | Tag Inspires 309 W Glenside Ave Glenside PA 19038-3313 Ph: (215) 558-5616 |
| NPI Number | 1336528744 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336528744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MF000813 (Pennsylvania) | Primary |
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