Individual provider · Type 1 NPI
Matthew Joseph Tisby, M. DIV.
Pastoral Counselor · Shreveport, LA
NPI number
1548367014
Active
Practice location
2437 Roy Rd
Shreveport, LA 71107
Fax (318) 424-6121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
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About NPI 1548367014
Matthew Joseph Tisby, M. DIV.'s National Provider Identifier is 1548367014, issued on Sep 19, 2006. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.