MEDICARE: DEADRA TILLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1780136416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEADRA TILLEY

Provider Business Mailing Address
First Line	:	6 CATHY LANE
Second Line	:
City	:	FLORENCE
State	:	NJ
Zip	:	08518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 CATHY LN
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-9727
Country	:	US
Telephone Number	:	609-499-0165
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2016
Last Update Date	:	10/28/2016

Similar Medicare Providers

1316802564 — WHITNEY OWENS
Practice Location Address:

60 CATHY LN
BURLINGTON, NJ
08016-9727

Practice Phone: 609-499-0165
Practice Fax:

1154621209 — MRS. DANITA SHARICE THOMPSON LMFT
Practice Location Address:

60 CATHY LN STE 103
BURLINGTON, NJ
08016-9727

Practice Phone: 609-234-8050
Practice Fax: 609-447-4786

1457692105 — MENDING HEARTS FAMILY COUNSELING
Practice Location Address:

60 CATHY LN , SUITE 101
BURLINGTON, NJ
08016-9727

Practice Phone: 609-234-8050
Practice Fax: 609-499-0685

1407289507 — SHANTIA MARIE WILSON
Practice Location Address:

60 CATHY LN
BURLINGTON, NJ
08016-9727

Practice Phone: 609-499-0603
Practice Fax:

1518612605 — LIA MARCELETTE HANNON
Practice Location Address:

60 CATHY LN STE 103
BURLINGTON, NJ
08016-9727

Practice Phone: 609-499-0165
Practice Fax: 609-499-0685

1285354621 — SHARON D LEWIS LAMFT
Practice Location Address:

60 CATHY LN STE 103
BURLINGTON, NJ
08016-9727

Practice Phone: 609-499-0165
Practice Fax: 703-117-0313

Directions to “ DEADRA TILLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.