| Doctor Name: | MS. TYLER JAMES POLLACK |
| NPI Number: | 1013981158 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMSW |
| License Number: | 6801084492 |
| Business Practice Address: | 34 N Main St Suite 300 Plymouth, MI - 481701272 |
| Business Phone Number: | 7345463833 |
| Business Fax Number: | |
| Mailing Address: | 3952 Elizabeth Ave, CANTON |
| State: | MI |
| Postal Code: | 481887223 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801084492 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |