Peckham, Tyler Matthew

Peckham, Tyler Matthew is an sole proprietor health care provider with primary practice located at 3359 Kemp Rd Ste 200 , Beavercreek OH 45431-2567. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Peckham, Tyler Matthew can be contacted via phone (937) 490-2090.

Contact Information

Primary practice address
3359 Kemp Rd Ste 200 Beavercreek OH 45431-2567
Phone: (937) 490-2090
Fax: (937) 490-2780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.2505064 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1013423367
LBN Legal business name Peckham, Tyler Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2017
Last updated Oct 3rd, 2025 - about last year

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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