Most Relevant Information
Provider Data
| NPI Number: | 1003350208 |
| Provider Name: | NATASHA TYLER BS/PSY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2016 |
| Last Updated: | 12/07/2016 |
Provider Practice Location
425 BROADWAY ST
SUITE 203
PADUCAH
KY
420010713
Practice Location Phone/Fax
| Phone: | 2704425088 |
| Fax: | 2704423268 |
Provider Mailing Location
425 BROADWAY ST
SUITE 203
PADUCAH
KY
420010713
Provider Mailing Phone/Fax
| Phone: | 2704425088 |
| Fax: | 2704423268 |