Tanza Mateer

Individual provider Active NPI Peer Specialist · Yeagertown, PA

NPI 1700355229 · NPPES record last updated Nov 14, 2018

Key facts

NPI
1700355229
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone
(717) 248-8791
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

25 Rothermel Dr
Yeagertown, PA 17099-9707

Mailing address

25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone (717) 248-8791

Other providers in Yeagertown, PA

All providers in Yeagertown, PA · Peer Specialist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.