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Individual

DR. CAROL PM TYLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1017C PAWAA LN, HONOLULU, HI 96826-2142
(808) 941-5869
(808) 941-2987
Mailing address
1017C PAWAA LN, HONOLULU, HI 96826-2142
(808) 941-5869
(808) 941-2987

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-783
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0240901
HMSA
HI
05
53515601
HI
Enumeration date
06/22/2006
Last updated
07/09/2007
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