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NPI Code Detail

MEDICARE: TYREE SCHOOLFIELD

MEDICARE:   TYREE  SCHOOLFIELD
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
1106S00000XBehavior TechnicianMD

General Provider Information

NPI Number : 1073023669
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYREE SCHOOLFIELD
Provider Business Mailing Address
First Line : 7120 SAMUEL MORSE DR STE 150
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3420
Country : US
Telephone Number : 888-344-5977
Fax Number :
Provider Business Practice Location Address
First Line : 1750 FOREST DR STE 160
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-4211
Country : US
Telephone Number : 855-935-3691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 06/15/2026

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Directions to “ TYREE SCHOOLFIELD ” Practice Location

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