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:
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Health care specialties

SpecialtyCodeLicense #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 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 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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