Carter, Tyler Edison

Carter, Tyler Edison is an individual health care provider with primary practice located at 302 W 5Th St Ste 310 , San Pedro CA 90731-2750. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Carter, Tyler Edison can be contacted via phone (424) 570-6955.

Contact Information

Primary practice address
302 W 5Th St Ste 310 San Pedro CA 90731-2750
Phone: (424) 570-6955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW87471 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 110643 California

Profile Details

NPI number 1730746736
LBN Legal business name Carter, Tyler Edison
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2019
Last updated Sep 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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