Provider Demographics
NPI:1215775655
Name:MYERS, TINA (MA)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 DUNCAN AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5017
Mailing Address - Country:US
Mailing Address - Phone:724-968-7063
Mailing Address - Fax:
Practice Address - Street 1:705 DUNCAN AVE APT 310
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5017
Practice Address - Country:US
Practice Address - Phone:724-968-7063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health