Individual
DR. STACY TYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
60 MARKET ST, #213, GAITHERSBURG, MD 20878-6548
(240) 750-6467
Mailing address
60 MARKET ST, #213, GAITHERSBURG, MD 20878-6548
(240) 750-6467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05816
MD
Other
Enumeration date
10/14/2010
Last updated
09/22/2016
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