Antanissha Tyler
NPI #1154994879 in Redondo Beach, California
Provider Information
- NPI Number
- 1154994879
- Entity Type
- Individual
- Name
- Antanissha Tyler
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jul 20, 2021
- Last Updated
- Jul 20, 2021
Practice Location
- Address
- 1200 AVIATION BLVD
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90278-4064
- Phone
- (310) 376-2468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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