Search › Pennsylvania › 124Q00000X
Tye Spady Blair, RDH, PHDHP
NPI 1720691439 · on the registry since 2020
Practice
- Address
- 5201 Haverford Ave
Philadelphia, PA 19139 - Phone
- (215) 471-2761
- Organisation at this address
- Spectrum Health Services, Inc.
Spectrum Health Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-24
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