MR. MATTHEW JOSEPH TISBY M. DIV. NPI 1548367014

NPI Information

NPI: 1548367014
Provider Name: MR. MATTHEW JOSEPH TISBY, M. DIV.
Classification: Counselor - 101YP1600X
Entity Type: Individual

Specialization: Pastoral

Address:
2437 ROY RD
SHREVEPORT, LA
ZIP 71107
Phone: (318) 424-9584
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MR. Matthew Joseph Tisby, M. DIV. is a pastoral counselor in Shreveport, LA. MR. Matthew Joseph Tisby, M. DIV. NPI is 1548367014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2437 ROY RD
SHREVEPORT, LA
ZIP 71107
Phone: (318) 424-9584
Fax: (318) 424-6121

The enumeration date for this NPI number is 9/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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