Miskov, Tyanne Lynn
Miskov, Tyanne Lynn is an individual health care provider with primary practice located at 269 Summit Dr , Waterford MI 48328-3364. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Miskov, Tyanne Lynn can be contacted via phone (248) 706-3450.Contact Information
Primary practice address
269 Summit Dr
Waterford MI 48328-3364
Phone: (248) 706-3450
Fax: (248) 706-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301013466 | Michigan |
Profile Details
| NPI number | 1962551705 |
|---|---|
| LBN Legal business name | Miskov, Tyanne Lynn |
| Credentials | MA, LLP, CAADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | May 29th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962551705 | NPPES |
| Michigan | MEDICAID | 4483587 |
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