MEDICARE: MS. BARBARA TYLER STRAUSSER M.A.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1417085432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA TYLER STRAUSSER M.A.

Provider Business Mailing Address
First Line	:	1756 BROADRIPPLE DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-4622
Country	:	US
Telephone Number	:	931-645-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 CHEATHAM ST
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-2828
Country	:	US
Telephone Number	:	615-463-6200
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

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