Doctor Name: | MR. TYLER JAMES ZIELASKO |
NPI Number: | 1669526653 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 501 N Wymore Rd Winter Park, FL - 327892808 |
Business Phone Number: | 4079752565 |
Business Fax Number: | 4079752589 |
Mailing Address: | 707 Ashford Oaks Dr, Apt. 103 ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327145573 |
Phone Number: | 4079752565 |
Fax Number: | 4079752589 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |