Individual provider · Type 1 NPI

Jeffrey Michael Tisch, DO

Child & Adolescent Psychiatry Physician · Mobile, AL

NPI number 1194220384 Active

Practice location

6908 Providence Park Dr S
Mobile, AL 36695-4600

Mailing address

300 Crittenden Blvd
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804XDO.2135 (AL)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1194220384

Jeffrey Michael Tisch, DO's National Provider Identifier is 1194220384, issued on Mar 28, 2018. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Mobile, AL. The record was last updated on Oct 23, 2023.