Individual
TYLER REED CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA-SLP
Contact information
Practice address
3201 BRIGHTON BLVD APT 536, DENVER, CO 80216-3730
(828) 506-9041
Mailing address
3201 BRIGHTON BLVD APT 536, DENVER, CO 80216-3730
(828) 506-9041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000550
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSLP.0000550
DORA COLORADO
CO
Enumeration date
10/08/2019
Last updated
10/08/2019
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