Provider Demographics
NPI:1417381351
Name:TYLER, ROBIN JEAN (MA)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:JEAN
Last Name:TYLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BAYMEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-5994
Mailing Address - Country:US
Mailing Address - Phone:731-225-9904
Mailing Address - Fax:
Practice Address - Street 1:1869 HIGHWAY 45 BYP STE 5
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2464
Practice Address - Country:US
Practice Address - Phone:469-547-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health