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Tia Clark

NPI 1477478014 · on the registry since 2026 · sole proprietor

Practice

Address
7131 N 20th St Fl 1
Philadelphia, PA 19138
Phone
(267) 444-5214

Registry record

Primary taxonomy
335E00000X
335E00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-12

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 Pennsylvania