Individual
KRISTEN TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
205 N MICHIGAN AVE, SUITE 1660, CHICAGO, IL 60601-5927
(508) 658-9276
Mailing address
205 N MICHIGAN AVE, SUITE 1660, CHICAGO, IL 60601-5927
(508) 658-9276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071009177
IL
Other
Enumeration date
08/28/2013
Last updated
07/20/2016
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