Doctor Name: | TANYA LEIGH STARR |
NPI Number: | 1003056912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 435 W 4th St Williamsport, PA - 177016001 |
Business Phone Number: | 5703227873 |
Business Fax Number: | 5703228026 |
Mailing Address: | 435 West Fourth Street, WILLIAMSPORT |
State: | PA |
Postal Code: | 17701 |
Phone Number: | 5703227873 |
Fax Number: | 5703228026 |
NPI Enumeration Date: | 03/05/2009 |
NPI Last Update Date: | 03/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |