Provider Demographics
NPI:1619607504
Name:LUNGER, TYLER JAMES (MSW)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:JAMES
Last Name:LUNGER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1007
Mailing Address - Country:US
Mailing Address - Phone:570-441-0070
Mailing Address - Fax:
Practice Address - Street 1:1164 BLATTADAHL RD
Practice Address - Street 2:
Practice Address - City:MOHRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19541-9212
Practice Address - Country:US
Practice Address - Phone:570-441-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker