Dr. Michelle Bane Tiller, PsyD
Psychologist in Harrison City, PA. Individual provider (NPI-1).
NPI number1619082476
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1619082476
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Bane Tiller
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Certification date
- Sep 21, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PS015111 | PA | Yes |
Other names
- Michelle Santilli (Former Name)
Practice location
3777 Route 130 Suite 2Harrison City, PA 15636-1260
Phone 412-378-1058
Mailing address
3777 Route 130 Suite 2Harrison City, PA 15636-1260
Phone 412-378-1058
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