Traci Jo Tylar is a Professional in Peoria, Illinois. Traci Jo Tylar practices all healthcare services and medical treatments related to Professional. The NPI Number for Traci Jo Tylar is 1053462952. The last update date is 2012-03-08.
Traci Jo Tylar's current location address is Po Box 9665, Peoria, Illinois. You can contact this provider via phone number 3095734834 and fax number 3122541423. The mailing address for Traci Jo Tylar is Po Box 9665, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Jo Tylar |
|---|---|
| Address | Po Box 9665, Peoria, Illinois |
| Phone Number | 3095734834 |
| Fax Number | 3122541423 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1053462952 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | Po Box 9665 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61612 |
| Phone Number | 3095734834 |
| Fax Number | 3122541423 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 178004736 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Traci Jo Tylar's unique identification number?
The Traci Jo Tylar has been assigned the NPI (National Provider Identifier) Number 1053462952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Traci Jo Tylar's physical address?
The Traci Jo Tylar is physically located at Po Box 9665, in the city of Peoria, IL, with the postal code 61612.
What is the Traci Jo Tylar's area of specialization and corresponding taxonomy classification?
The Traci Jo Tylar's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1053462952 to Traci Jo Tylar?
The Centers for Medicare & Medicaid Services assigned the 1053462952 to Traci Jo Tylar on 2007-01-16.
As of what date was the information pertaining to Traci Jo Tylar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Traci Jo Tylar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-08.
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