Individual
MS. STEPHANIE NICOLE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10005 OLD COLUMBIA RD, STE L260, COLUMBIA, MD 21046-1702
(443) 259-0400
(443) 259-0044
Mailing address
10005 OLD COLUMBIA RD, STE L260, COLUMBIA, MD 21046-1702
(443) 259-0400
(443) 259-0044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP7048
MD
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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