MR. Matthew Joseph Tisby, M. DIV.
NPI #1548367014 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1548367014
- Entity Type
- Individual
- Name
- MR. Matthew Joseph Tisby, M. DIV.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Pastoral
- Credential
- M. DIV.
- Enumeration Date
- Sep 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2437 ROY RD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71107
- Phone
- (318) 424-9584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
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