| Tyler Davis Llc | |
|
8607 N 59th Ave Suite C-6 Glendale AZ 85302 | |
| (602) 753-8040 | |
| (623) 748-9220 |
| Full Name | Tyler Davis Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8607 N 59th Ave Suite C-6, Glendale, Arizona |
| Authorized Official Name and Position | Tyler John Davis (PSYCHOLOGIST) |
| Authorized Official Contact | 6233415677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Davis Llc 8607 N 59th Ave Suite C-6 Glendale AZ 85302 Ph: (602) 753-8040 | Tyler Davis Llc 8607 N 59th Ave Suite C-6 Glendale AZ 85302 Ph: (602) 753-8040 |
| NPI Number | 1235736190 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235736190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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