Anderson, Tyler
Anderson, Tyler is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Anderson, Tyler can be contacted via phone (801) 373-4760.Contact Information
Primary practice address
750 N Freedom Blvd
Provo UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DR.0059856 | Colorado |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 6219794-1205 | Utah |
Profile Details
NPI number | 1356633143 |
---|---|
LBN Legal business name | Anderson, Tyler |
Credentials | MD, MHA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2011 |
Last updated | Jun 4th, 2021 - about 3 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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