Provider Demographics
NPI:1285622860
Name:TROYER, TYLER REED (MA)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:REED
Last Name:TROYER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 JOEL PL
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80534-8735
Mailing Address - Country:US
Mailing Address - Phone:970-350-6730
Mailing Address - Fax:970-350-6515
Practice Address - Street 1:928 12TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-4024
Practice Address - Country:US
Practice Address - Phone:970-350-6730
Practice Address - Fax:970-350-6515
Is Sole Proprietor?:No
Enumeration Date:2005-10-08
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO393106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist