Stephanie Tyson, MA, CCC-SLP is a
Speech-language Pathologist based in Liberty Center, Ohio. Stephanie Tyson is licensed to practice in Ohio (license number 10042) and her current practice location is
100 Tiger Trl, Liberty Center, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 533-2604.
NPI number for Stephanie Tyson is 1639641194 and her current mailing address is 619 Normandie Blvd, Bowling Green, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639641194.
Healthcare Provider's Profile
Full Name | Stephanie Tyson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 100 Tiger Trl, Liberty Center, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639641194
- Provider Enumeration Date: 12/21/2018
- Last Update Date: 12/21/2018
Medical Identifiers
Medical identifiers for Stephanie Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639641194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 10042 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Tyson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Tyson, MA, CCC-SLP 619 Normandie Blvd, Bowling Green, OH 43402-1547 Ph: (419) 352-9156 | Stephanie Tyson, MA, CCC-SLP 100 Tiger Trl, Liberty Center, OH 43532-9642 Ph: (419) 533-2604 |
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