Healthcare Provider Details

I. General information

NPI: 1730565904
Provider Name (Legal Business Name): COURTNEY HYLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2637 W BURREL AVE
VISALIA CA
93291-4511
US

IV. Provider business mailing address

3300 GOSFORD RD APT H58
BAKERSFIELD CA
93309-7693
US

V. Phone/Fax

Practice location:
  • Phone: 559-747-0115
  • Fax:
Mailing address:
  • Phone: 661-817-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: