Provider Demographics
NPI:1386184604
Name:WARD, TOMILYN (MSPC)
Entity type:Individual
Prefix:
First Name:TOMILYN
Middle Name:
Last Name:WARD
Suffix:
Gender:
Credentials:MSPC
Other - Prefix:
Other - First Name:TOMILYN
Other - Middle Name:
Other - Last Name:ROWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPC
Mailing Address - Street 1:4284 WILLIAM FLYNN HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1440
Mailing Address - Country:US
Mailing Address - Phone:412-412-5893
Mailing Address - Fax:412-206-7458
Practice Address - Street 1:4284 WILLIAM FLYNN HWY STE 305
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1440
Practice Address - Country:US
Practice Address - Phone:412-589-3357
Practice Address - Fax:412-220-6745
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009710101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor