Individual
TYLER ROBERT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-5100
(920) 303-5151
Mailing address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-5100
(920) 303-5151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4026-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184112
—
WI
Enumeration date
08/24/2021
Last updated
12/05/2022
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