Provider Demographics
NPI:1417427105
Name:OWENS-TYLER, JIHAN (MS, MFT)
Entity Type:Individual
Prefix:MRS
First Name:JIHAN
Middle Name:
Last Name:OWENS-TYLER
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1987 STATE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:EAST PETERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17520-1324
Mailing Address - Country:US
Mailing Address - Phone:717-340-2097
Mailing Address - Fax:
Practice Address - Street 1:1987 STATE ST STE 206
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520-1324
Practice Address - Country:US
Practice Address - Phone:717-340-2097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist