Physician Compare National (NPI:1811154685)

HEALTHCARE PROVIDER: DEBORAH TYLER PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811154685
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820158884
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090706000090
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TYLER
	Individual professional last name
Provider First Name	DEBORAH
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3700 SAWTELL RD
	Group Practice or individual's line 1 address
City	LITTLE RIVER
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	295667873
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8433990724
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y