Hernandez, Tyler Elizabeth

Hernandez, Tyler Elizabeth is an individual health care provider with primary practice located at 1650 Ne 26Th St Ste 201 , Wilton Manors FL 33305-1431. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hernandez, Tyler Elizabeth can be contacted via phone (954) 546-2440.

Contact Information

Primary practice address
1650 Ne 26Th St Ste 201 Wilton Manors FL 33305-1431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10686 Florida

Profile Details

NPI number 1689213613
LBN Legal business name Hernandez, Tyler Elizabeth
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2019
Last updated Feb 1st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689213613 NPPES
Florida Other PY10686 FLORIDA LICENSE TO PRACTICE PSYCHOLOGY

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