DR. Jeffrey Michael Tisch, DO

NPI #1194220384 in Mobile, Alabama

Provider Information

NPI Number: 1194220384
Entity Type: Individual
Name: DR. Jeffrey Michael Tisch, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychiatry & Neurology - Child & Adolescent Psychiatry
Credential: DO
Enumeration Date: Mar 28, 2018
Last Updated: Oct 23, 2023

Practice Location

Address: 6908 PROVIDENCE PARK DR S
City: Mobile
State: Alabama
ZIP Code: 36695-4600
Phone: (251) 660-3490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X	Primary

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