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NPI Code Detail

MEDICARE: DR. TYLER PIA PHD

MEDICARE: DR. TYLER PIA PHD
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1982567434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYLER PIA PHD
Provider Business Mailing Address
First Line : 1813 LINDEN ST APT 2
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-2128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 BLOOMINGDALE RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-1504
Country : US
Telephone Number : 914-682-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ DR. TYLER PIA PHD” Practice Location

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