| NPI | 1275019507 |
|---|---|
| Former Legal Business Name | KRISTEN TYLER PSYCHOTHERAPY, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | KRISTEN TYLER Owner, Psychologist 708-714-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.009177) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-23 |