Provider Demographics
NPI:1609337021
Name:HOWARD, TYLER JAMES (LGPC)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:JAMES
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 OAK RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3611
Mailing Address - Country:US
Mailing Address - Phone:979-450-9375
Mailing Address - Fax:
Practice Address - Street 1:8600 LASALLE ROAD CARROLL BUILDING
Practice Address - Street 2:SUITE 212
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-773-0500
Practice Address - Fax:410-773-0501
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8172103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling