Individual
DR. SHIRLEY K. TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2100 S COLUMBIA RD, SUITE 202, GRAND FORKS, ND 58201-5895
(701) 772-1588
Mailing address
421 HIGHLAND ORCHARD RD, UNDERWOOD, WA 98651-9132
(509) 493-4903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
ND113
ND
103TC0700X
Clinical Psychologist
Primary
ND113
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16918
—
ND
01
—
BCBS 22726TY
NDBCBS HEALTH INSURANCE
ND
01
—
MNBCBS2H519FA
MNBCBS HEALTH INSURANCE
MN
Enumeration date
01/25/2007
Last updated
09/11/2025
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