Most Relevant Information
Provider Data
| NPI Number: | 1003388869 |
| Provider Name: | TYLER BRADY RBT, QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/18/2018 |
| Last Updated: | 12/18/2018 |
Provider Practice Location
5665 HOOVER RD
GROVE CITY
OH
431239122
Practice Location Phone/Fax
| Phone: | 6148752371 |
| Fax: |
Provider Mailing Location
522 E TOMPKINS ST
COLUMBUS
OH
432022754
Provider Mailing Phone/Fax
| Phone: | 4196175251 |
| Fax: |