Search › Illinois › 101YA0400X
Tyiesha White, M.A
NPI 1326880873 · on the registry since 2024 · sole proprietor
Practice
- Address
- 104 Henderson St
Troy, IL 62294 - Phone
- (573) 353-3642
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 247200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois