Provider Demographics
NPI:1114334380
Name:ARTRECHES, TAHIRIN (PSYD)
Entity type:Individual
Prefix:
First Name:TAHIRIN
Middle Name:
Last Name:ARTRECHES
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8819 RIVER CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5132
Mailing Address - Country:US
Mailing Address - Phone:813-820-0677
Mailing Address - Fax:813-820-0677
Practice Address - Street 1:8819 RIVER CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5132
Practice Address - Country:US
Practice Address - Phone:813-820-0677
Practice Address - Fax:813-820-0677
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9060103G00000X, 103TC0700X
103G00000X
FLPY 9060103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical