Individual
SCOTT JEFFREY TLANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4866
(765) 502-4401
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01098396A
IN
2084P0800X
Psychiatry Physician
S1935
TX
2084P0804X
Child & Adolescent Psychiatry Physician
01098396A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
S1935
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
04/27/2026
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