Provider Demographics
NPI:1447145966
Name:POWERS, TYLER (PHD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 ARCH ST APT 405
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-2325
Mailing Address - Country:US
Mailing Address - Phone:321-695-1933
Mailing Address - Fax:
Practice Address - Street 1:801 ARCH ST
Practice Address - Street 2:STE 502
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-2412
Practice Address - Country:US
Practice Address - Phone:156-270-2382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020258103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical