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NPI Code Detail

MEDICARE: VY TYLER ALLEN LISW

MEDICARE: VY TYLER ALLEN LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2507546OH
2104100000XSocial WorkerS.2005325OH

General Provider Information

NPI Number : 1194314260
Entity Type Code : Individual
Provider Name (Legal Business Name) : VY TYLER ALLEN LISW
Provider Business Mailing Address
First Line : PO BOX 3103
Second Line :
City : ZANESVILLE
State : OH
Zip : 43702-3103
Country : US
Telephone Number : 740-214-6443
Fax Number :
Provider Business Practice Location Address
First Line : 58 N 5TH ST STE 102
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-3527
Country : US
Telephone Number : 740-214-6443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 03/20/2026

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Directions to “ VY TYLER ALLEN LISW” Practice Location

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