Healthcare Provider Details

I. General information

NPI: 1972423069
Provider Name (Legal Business Name): TYLER GOUCHER AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 F ST
BAKERSFIELD CA
93301-3827
US

IV. Provider business mailing address

PO BOX 31
BAKERSFIELD CA
93302-0031
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-1982
  • Fax:
Mailing address:
  • Phone: 661-412-3828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: