Tyanne Lynn Miskov in Waterford - Psychologist

Tyanne Lynn Miskov - NPI 1962551705

Tyanne Lynn Miskov is a Psychologist in Waterford, Michigan. Tyanne Lynn Miskov practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tyanne Lynn Miskov is 1962551705. The last update date is 2012-05-29.

Tyanne Lynn Miskov's current location address is 269 Summit Dr, Waterford, Michigan. You can contact this provider via phone number 2487063450 and fax number 2487063455. The mailing address for Tyanne Lynn Miskov is 269 Summit Dr, Waterford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyanne Lynn Miskov
Address 269 Summit Dr, Waterford, Michigan
Phone Number 2487063450
Fax Number 2487063455
Sole Proprietor N
Credentials MA, LLP, C

NPI Number Detail

NPI Number 1962551705
Provider Enumeration Date 2007-01-10
Last Updated Date 2012-05-29

Provider Mailing Address Detail

Address 269 Summit Dr
City Waterford
State Michigan (MI)
Post Code 483283364
Phone Number 2487063450
Fax Number 2487063455

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6301013466
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4483587 MI --

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FAQs about Tyanne Lynn Miskov

What is the Tyanne Lynn Miskov's unique identification number?

The Tyanne Lynn Miskov has been assigned the NPI (National Provider Identifier) Number 1962551705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Tyanne Lynn Miskov's facilities are situated?

The facilities of Tyanne Lynn Miskov are physically located at the following address: 269 Summit Dr, Waterford, MI, 483283364.

What is Tyanne Lynn Miskov's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tyanne Lynn Miskov is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.

When was the Tyanne Lynn Miskov's 1962551705 issued?

The Tyanne Lynn Miskov's 1962551705 was issued on 2007-01-10.

As of what date were the Tyanne Lynn Miskov's details last updated?

The information pertaining to the Tyanne Lynn Miskov, including its address, specialty, and other details, was most recently updated on 2012-05-29.

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