Doctor Name: | DR. TYLER DEVIN HINDS |
NPI Number: | 1013116094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MFTI |
License Number: | PSB31322 |
Business Practice Address: | 1200 N Main St Ste 100b Santa Ana, CA - 927013630 |
Business Phone Number: | 7144806650 |
Business Fax Number: | |
Mailing Address: | 33 Meadowood, ALISO VIEJO |
State: | CA |
Postal Code: | 926561548 |
Phone Number: | 3109456567 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSB31322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |