Individual
TYISHA GRANT BARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 LAVACA ST, STE 1401, AUSTIN, TX 78701-3101
(254) 338-7542
Mailing address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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