| Tyler Hernandez Psyd Llc | |
|
1650 Ne 26th St Ste 201 Wilton Manors FL 33305-1431 | |
| (954) 546-2440 | |
| Not Available |
| Full Name | Tyler Hernandez Psyd Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1650 Ne 26th St Ste 201, Wilton Manors, Florida |
| Authorized Official Name and Position | Tyler E Hernandez (OWNER) |
| Authorized Official Contact | 7542468716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Hernandez Psyd Llc 480 Lily Ln Davenport FL 33837-2708 Ph: (754) 246-8716 | Tyler Hernandez Psyd Llc 1650 Ne 26th St Ste 201 Wilton Manors FL 33305-1431 Ph: (954) 546-2440 |
| NPI Number | 1245984483 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245984483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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