Organization
BAYSIDE PSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN CHAPMAN TYLER PH.D. (LICENSED PSYCHOLOGIST / PRESIDENT)
(850) 279-6750
Entity
Organization
Contact information
Practice address
4400 E HIGHWAY 20, STE 305, NICEVILLE, FL 32578-8779
(850) 279-6750
(850) 279-6752
Mailing address
4400 E HIGHWAY 20, STE 305, NICEVILLE, FL 32578-8779
(850) 279-6750
(850) 279-6752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5264
FL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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