PATRICIA ANN TYLER NPI 1811237555

NPI Information

NPI: 1811237555
Provider Name: PATRICIA ANN TYLER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3939 ATLANTIC AVE STE 103
LONG BEACH, CA
ZIP 90807
Phone: (562) 264-6001
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Patricia Ann Tyler is a mental health counselor in Long Beach, CA. Patricia Ann Tyler NPI is 1811237555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3939 ATLANTIC AVE STE 103
LONG BEACH, CA
ZIP 90807-529
Phone: (562) 264-6001

The enumeration date for this NPI number is 2/17/2013 and was last updated on 6/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	ASW86490	CALIFORNIA	No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YM0800X	Counselor	Mental Health	ASW86490	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-2633765	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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