Pollack, Tyler James

Pollack, Tyler James is an individual health care provider with primary practice located at 34 N Main St Suite 300, Plymouth MI 48170-1272. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pollack, Tyler James can be contacted via phone (734) 546-3833.

Contact Information

Primary practice address
34 N Main St Suite 300 Plymouth MI 48170-1272
Phone: (734) 546-3833
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801084492 Michigan

Profile Details

NPI number 1013981158
LBN Legal business name Pollack, Tyler James
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 2nd, 2008 - about 17 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 1013981158 NPPES
Michigan Other 6801084492 LMSW STATE LICENSE

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