Tyler D Roy- Davis LCPC

NPI 1053587279 - Counselor - 101YP2500X

NPI Details
NPI 1053587279
Gender Female
Enumeration Date 05/07/2008
Last Updated 07/24/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
2602 WEST BLVD
SUITE C
BELLEVILLE IL, 62221-5605, US
Phone (618) 207-9685
Fax (618) 213-6867
Business Location
9 PRIMROSE LN
FAIRVIEW HEIGHTS IL, 62208-2438, US
Phone (618) 207-9685
Fax (618) 213-6867
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180-005914
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According to our database, Ms. Tyler D Roy- Davis LCPC NPI is 1053587279, taxonomy code is 101YP2500X and license number is 180-005914, license state is located at Illinois. Tyler D Roy- Davis LCPC physically located at 2602 West Blvd, Belleville IL, 62221-5605. NPI Number Tyler D Roy- Davis LCPC has the Individual type.

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1053587279 NPI number is provided on an as is basis without warranty of any kind. 1053587279 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler D Roy- Davis LCPC are for informational purposes only.