Individual
DR. TYLER RICKARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 N WOLFE ST, MEYER 1-163, BALTIMORE, MD 21287-0005
(814) 330-7464
Mailing address
5051 GREENSPRING AVE STE 300, BALTIMORE, MD 21209-4358
(410) 601-1958
(410) 601-7828
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
05665
MD
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
05665
MD
Other
Enumeration date
11/04/2014
Last updated
01/02/2024
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