Provider Demographics
NPI:1952187775
Name:TOLEDO, TYLER ARIES (PHD)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:ARIES
Last Name:TOLEDO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8075 SAWYER BROWN RD APT 1306
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1535
Mailing Address - Country:US
Mailing Address - Phone:206-981-6132
Mailing Address - Fax:
Practice Address - Street 1:8075 SAWYER BROWN RD APT 1306
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1535
Practice Address - Country:US
Practice Address - Phone:206-981-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3947103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical