Tyler, Patricia Marie

Tyler, Patricia Marie is an individual health care provider with primary practice located at 2825 Mountain Road Suite 204, Pasadena MD 21122. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tyler, Patricia Marie can be contacted via phone (443) 548-3733.

Contact Information

Primary practice address
2825 Mountain Road Suite 204 Pasadena MD 21122
Phone: (443) 548-3733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADT1855 Maryland

Profile Details

NPI number 1538629720
LBN Legal business name Tyler, Patricia Marie
Credentials ADT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2019 - about 7 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 1538629720 NPPES
Maryland MEDICAID 1851838643

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