Wilkerson, Tyra G

Wilkerson, Tyra G is an individual health care provider with primary practice located at 8015 Parker School Rd Suite 160, Jacksonville FL 32211-5172. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilkerson, Tyra G can be contacted via phone (904) 858-1963.

Contact Information

Primary practice address
8015 Parker School Rd Suite 160 Jacksonville FL 32211-5172
Phone: (904) 858-1963
Fax: (904) 858-1455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1205006756
LBN Legal business name Wilkerson, Tyra G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 2008 - about 16 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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