Provider Demographics
NPI:1013208180
Name:OLIVER, TANYA MARIE (BA)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:MARIE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 ROUTE 286 HWY E STE 524
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1482
Mailing Address - Country:US
Mailing Address - Phone:724-465-0369
Mailing Address - Fax:724-465-1081
Practice Address - Street 1:1380 ROUTE 286 HWY E STE 524
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1482
Practice Address - Country:US
Practice Address - Phone:724-465-0369
Practice Address - Fax:724-465-1081
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health