Provider Demographics
NPI:1316042997
Name:TYLER, JAMES I (MA CCC/A)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:I
Last Name:TYLER
Suffix:
Gender:M
Credentials:MA CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PEOPLES PLAZA
Mailing Address - Street 2:SUITE 28
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702
Mailing Address - Country:US
Mailing Address - Phone:302-836-9870
Mailing Address - Fax:302-836-4264
Practice Address - Street 1:PEOPLES PLAZA
Practice Address - Street 2:SUITE 28
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702
Practice Address - Country:US
Practice Address - Phone:302-836-9870
Practice Address - Fax:302-836-4264
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0455967000OtherAMERIHEALTH HMO
DEPIN 10Medicare ID - Type Unspecified
S35470Medicare UPIN