Johnson, Tiya Shalyse
Johnson, Tiya Shalyse is an individual health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Johnson, Tiya Shalyse can be contacted via phone (903) 877-7168.Contact Information
Primary practice address
11937 Us Highway 271
Tyler TX 75708-3154
Phone: (903) 877-7168
Fax: (903) 877-8355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | ME129560 | Florida |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 130324 | Ohio |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 48143 | Kentucky |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 130324 | Ohio |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 48143 | Kentucky |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME129560 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 130324 | Ohio |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME129560 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 48143 | Kentucky |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | S7462 | Texas |
Profile Details
| NPI number | 1154696359 |
|---|---|
| LBN Legal business name | Johnson, Tiya Shalyse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2012 |
| Last updated | Aug 17th, 2020 - about 6 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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