Organization
TYLER PSYCHOLOGICAL SERVICES, L.L.C.
Active
Other names
Kristen Tyler Psychotherapy, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN TYLER PSYD (OWNER, PSYCHOLOGIST)
(708) 714-7616
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 616, OAK PARK, IL 60301
(708) 714-7616
Mailing address
1010 LAKE ST STE 616, OAK PARK, IL 60301-1136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.009177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881028603
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/19/2018
Last updated
07/23/2018
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