Tyler, Elizabeth O

Tyler, Elizabeth O is an individual health care provider with primary practice located at 1023 State St , Schenectady NY 12307-1511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tyler, Elizabeth O can be contacted via phone (518) 243-3300.

Contact Information

Primary practice address
1023 State St Schenectady NY 12307-1511
Phone: (518) 243-3300
Fax: (518) 377-9151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 047210 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 074698 New York

Profile Details

NPI number 1124004916
LBN Legal business name Tyler, Elizabeth O
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 22nd, 2024 - about last year

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 1124004916 NPPES
New York Other 040426032130 FIDELIS
New York Other N309D1 FIDELIS

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