Individual
MS. AMY C TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4338
(863) 686-3189
(863) 682-1348
Mailing address
3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4338
(863) 686-3189
(863) 682-1348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA3653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113991
AMERIGROUP
FL
01
—
11982201
CITRUS HEALTHCARE
FL
01
—
244
ATA
FL
01
—
672202496
MEDWAIVER
FL
05
—
883059200
—
FL
01
—
S2869
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/10/2006
Last updated
06/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us