Individual
BRYAN TYER-WITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 E MAIN RD, MIDDLETOWN, RI 02842-4988
(401) 608-3322
(401) 608-3323
Mailing address
58 E MAIN RD, MIDDLETOWN, RI 02842-4988
(401) 608-3322
(401) 608-3323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780058412
—
RI
Enumeration date
11/18/2015
Last updated
02/20/2024
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