MEDICARE: TYLER STONE

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1396361788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER STONE

Provider Business Mailing Address
First Line	:	9515 CURRY LANDING DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-7235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9515 CURRY LANDING DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-7235
Country	:	US
Telephone Number	:	979-256-7469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	06/22/2020

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Directions to “ TYLER STONE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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