Jeffrey Lynn Tyler, LCSW
Social Worker, Clinical in Breaux Bridge, LA. Individual provider (NPI-1).
NPI number1174902001
StatusActive
Last updated in NPPESMay 26, 2015
Details
- NPI
- 1174902001
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Lynn Tyler
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2015
- Last updated
- May 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 3966 | LA | Yes |
Practice location
1069 Melancon DrBreaux Bridge, LA 70517-7125
Phone 337-205-8774
Mailing address
1069 Melancon DrBreaux Bridge, LA 70517-7125
Phone 337-205-8774
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All 10 Clinical Social Worker providers in Breaux Bridge · All 357 providers in Breaux Bridge
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