Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Phillip J. Tietbohl, PHD

Individual provider Psychologist · NPI 1922106715

Dr. Phillip J. Tietbohl, PHD is a Clinical Psychologist in Wyomissing, Pennsylvania. Qualified in 1994, 32 years ago. Practices with Shoudt and Reilly Psychological Services, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
32
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

232 Logan Ave
Wyomissing, PA 19610-2673
Phone: (610) 741-9776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS008196L (PA)
Psychologist Taxonomy 103T00000X

Record details

NPI number1922106715
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Shoudt And Reilly Psychological Services, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyomissing