MARK A TICHON

IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC

Dr MARK A TICHON is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2009.

Contact

IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC

505 N ROAN ST
JOHNSON CITY
TN
376014740

Tel: 4239752000

MARK A TICHON Information

Npi 1164504494
Pac Id 6800057019
Professional Enrollment Id I20120416000600
Last Name TICHON
First Name MARK
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC
Group Practice Pac Id 0840587572
Number Of Group Practice Members 35
Line 1 Street Address 505 N ROAN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JOHNSON CITY
State TN
Zip Code 376014740
Phone Number 4239752000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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