Provider Information for 1508519315
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. MICHAEL TYLER BRYAN LPC, PhD
Sex: Male
NPI: 1508519315
Last Updated: 2022-02-01
Certification Date: 2022-02-01
Certification Date: 2022-02-01
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508519315 | ||||||||||||
| Enumeration Date | 2022-02-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7698 W INNUTIAN CT TUCSON, AZ 85743-1063 United States Phone: 928-691-0069 | Fax:928-691-0069 | ||||||||||||
| Primary Practice Address | 7698 W INNUTIAN CT TUCSON, AZ 85743-1063 United States Phone: 928-691-0069 | Fax:928-691-0069 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|