Provider Demographics
NPI:1285769216
Name:TYLER PSYCHOLOGY GROUP LLP
Entity type:Organization
Organization Name:TYLER PSYCHOLOGY GROUP LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-596-8118
Mailing Address - Street 1:2010 SYBIL LN
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1818
Mailing Address - Country:US
Mailing Address - Phone:903-596-8118
Mailing Address - Fax:903-596-8125
Practice Address - Street 1:2010 SYBIL LN
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1818
Practice Address - Country:US
Practice Address - Phone:903-596-8118
Practice Address - Fax:903-596-8125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0080DMOtherGROUP NUMBER