Tyler, Shirley K.
Tyler, Shirley K. is an individual health care provider with primary practice located at 2100 S Columbia Rd Suite 202, Grand Forks ND 58201-5895. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Tyler, Shirley K. can be contacted via phone (701) 772-1588.Contact Information
Primary practice address
2100 S Columbia Rd Suite 202
Grand Forks ND 58201-5895
Phone: (701) 772-1588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ND113 | North Dakota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ND113 | North Dakota |
Profile Details
| NPI number | 1992851703 |
|---|---|
| LBN Legal business name | Tyler, Shirley K. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1992851703 | NPPES |
| North Dakota | Other | BCBS 22726TY | NDBCBS HEALTH INSURANCE |
| North Dakota | MEDICAID | 16918 | NDBCBS HEALTH INSURANCE |
| North Dakota | Other | MNBCBS2H519FA | NDBCBS HEALTH INSURANCE |
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