IndividualActive
Jeffrey Tisch, DO
NPI 1194220384 · Child & Adolescent Psychiatry Physician · Mobile, AL
Provider details
- NPI number
- 1194220384
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
6908 Providence Park Dr S
Mobile, AL 36695-4600
Phone: (251) 660-3490
Approximate (ZIP-level) locationGet directions
Mailing address
300 Crittenden Blvd
Rochester, NY 14642-0001
Registry dates
- Enumerated
- 2018-03-28
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.