Tyler, Kathleen A

Tyler, Kathleen A is an sole proprietor health care provider with primary practice located at 1401 Main St , Port Jefferson NY 11777-2225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tyler, Kathleen A can be contacted via phone (631) 928-0202.

Contact Information

Primary practice address
1401 Main St Port Jefferson NY 11777-2225
Phone: (631) 928-0202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 047068 New York

Profile Details

NPI number 1912538638
LBN Legal business name Tyler, Kathleen A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2020
Last updated Feb 26th, 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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