Provider Demographics
NPI:1699223669
Name:RICE, TANDY (LSW)
Entity Type:Individual
Prefix:
First Name:TANDY
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 SMOKEY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2732
Mailing Address - Country:US
Mailing Address - Phone:412-302-4177
Mailing Address - Fax:
Practice Address - Street 1:709 SMOKEY WOOD DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-2732
Practice Address - Country:US
Practice Address - Phone:412-302-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health