Provider Demographics
NPI:1649983594
Name:TSIHLAS, DINA
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:TSIHLAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:LUBISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:153 CRESSTON RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1054
Mailing Address - Country:US
Mailing Address - Phone:973-525-5580
Mailing Address - Fax:
Practice Address - Street 1:153 CRESSTON RD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1054
Practice Address - Country:US
Practice Address - Phone:973-525-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD271181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical