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NPI Code Detail

MEDICARE: ANNE JONES TYLER LPC

MEDICARE: ANNE JONES TYLER LPC
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
1101YP2500XProfessional CounselorC.1300219OH
2101YP2500XProfessional CounselorE.1700408OH

General Provider Information

NPI Number : 1538543749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE JONES TYLER LPC
Provider Business Mailing Address
First Line : 2806 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-4470
Country : US
Telephone Number : 216-229-2420
Fax Number :
Provider Business Practice Location Address
First Line : 2806 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-4470
Country : US
Telephone Number : 216-229-2420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2015
Last Update Date : 11/22/2017

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Directions to “ ANNE JONES TYLER LPC” Practice Location

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