Provider Demographics
NPI:1477378610
Name:HUNTER, TYLER BREANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:BREANN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUMMER SWEET CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-3935
Mailing Address - Country:US
Mailing Address - Phone:832-894-6298
Mailing Address - Fax:
Practice Address - Street 1:1 SUMMER SWEET CT
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-3935
Practice Address - Country:US
Practice Address - Phone:832-894-6298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA0777103TC0700X
103TB0200X, 103TF0200X
DCPSYA200001525103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic