Doctor Name: | MRS. BETTY JANE TINGLEY |
NPI Number: | 1407035041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | S. 0025805 |
Business Practice Address: | 7320 State Highway 108 Suite A Wauseon, OH - 435678200 |
Business Phone Number: | 4193353723 |
Business Fax Number: | 4193353462 |
Mailing Address: | 1 Stranahan Sq, Suite 414 TOLEDO |
State: | OH |
Postal Code: | 436041447 |
Phone Number: | 4192445511 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 10/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | S. 0025805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |