Tyler Ryan Levy

NPI #1396469136 in Odenton, Maryland

Provider Information

NPI Number: 1396469136
Entity Type: Individual
Name: Tyler Ryan Levy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 26, 2022
Last Updated: Sep 26, 2022

Practice Location

Address: 1202 ANNAPOLIS RD STE F
City: Odenton
State: Maryland
ZIP Code: 21113-1387
Phone: (240) 296-1370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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