Most Relevant Information
Provider Data
| NPI Number: | 1003324054 |
| Provider Name: | TYLER BREWER MS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 6366 |
Most Important Dates
| Enumeration Date: | 01/11/2018 |
| Last Updated: | 01/11/2018 |
Provider Practice Location
6811 TAYLOR RANCH RD NW
ALBUQUERQUE
NM
871202957
Practice Location Phone/Fax
| Phone: | 5058981492 |
| Fax: |
Provider Mailing Location
PO BOX 25704
ALBUQUERQUE
NM
871250704
Provider Mailing Phone/Fax
| Phone: | 5058559893 |
| Fax: | 5058489468 |