Healthcare Provider Details

I. General information

NPI: 1285622860
Provider Name (Legal Business Name): TYLER REED TROYER MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2005
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 12TH ST
GREELEY CO
80631-4024
US

IV. Provider business mailing address

7525 JOEL PL
LOVELAND CO
80534-8735
US

V. Phone/Fax

Practice location:
  • Phone: 970-350-6730
  • Fax: 970-350-6515
Mailing address:
  • Phone: 970-350-6730
  • Fax: 970-350-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number393
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: