| Colgan Tyler, Lcsw, Counseling Service | |
|
6520 Glenridge Park Pl Suite 1 Louisville KY 40222-3453 | |
| (502) 551-0615 | |
| Not Available |
| Full Name | Colgan Tyler, Lcsw, Counseling Service |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6520 Glenridge Park Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Christopher Colgan Tyler (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5025510615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colgan Tyler, Lcsw, Counseling Service 6520 Glenridge Park Pl Suite 1 Louisville KY 40222-3453 Ph: (502) 551-0615 | Colgan Tyler, Lcsw, Counseling Service 6520 Glenridge Park Pl Suite 1 Louisville KY 40222-3453 Ph: (502) 551-0615 |
| NPI Number | 1982925020 |
|---|---|
| Provider Enumeration Date | 06/11/2010 |
| Last Update Date | 06/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982925020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3316 (Kentucky) | Primary |
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