DR. RENE WILLIAM TALLICHET (NPI# 1710447743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710447743 |
| Entity Type | Individual |
| Full Name | DR. RENE WILLIAM TALLICHET |
| Credential | PSY.D. |
| Practice Address |
6115 Springford Dr Apt G10 Harrisburg PA 17111-4847 |
| Practice Telephone | 8148836034 |
| Mailing Telephone | 8148836034 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PS005579L | PA | Behavioral Health & Social Service Providers |
| Street Address |
6115 SPRINGFORD DR APT G10 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083105498 | Stephen J Morse | Psychologist | 2301 Cherry St Apt 14b, Philadelphia, PA 19103-1064 | 2018-05-21 |
| 1518482249 | Gerald Cooke, Ph.d. & Margaret Cooke, Ph.d., P.C. | Psychologist | 4 E Germantown Pike Fl 1, Plymouth Meeting, PA 19462-1533 | 2017-08-03 |
| 1215239181 | Shannon Marie Edwards | Psychologist | 37 Southern Ave, Floor 2 - Right, Pittsburgh, PA 15211-1927 | 2010-11-29 |
| 1396908380 | Robert F Coufal Phd | Psychologist | 5701 Centre Ave Ste L11, Pittsburgh, PA 15206-3787 | 2008-07-09 |
| 1114139375 | John N Grutkowski | Psychologist | 47 South Washington St., Wilkes-barre, PA 18701-3033 | 2007-05-03 |
| 1184765125 | Stephen Miksic | Psychologist | 7 Embassy Cir, East Norriton, PA 19403-4011 | 2007-02-11 |
| 1801943469 | William F. Russell | Psychologist | 1241 Vine St, Suite 300, Philadelphia, PA 19107-1111 | 2007-01-05 |
| 1578673570 | Anna Devries Lawler | Psychologist | 260 S Broad St, Philadelphia, PA 19102-5021 | 2006-08-30 |
| 1285646000 | Guidance Associates of Pa | Psychologist | 412 Erford Rd, Camp Hill, PA 17011-1117 | 2006-08-12 |
| 1609828912 | Thomas Michael Eberle | Psychologist | 3154 Wildwood Rd Ext, Allison Park, PA 15101 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on DR. RENE WILLIAM TALLICHET.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.