National Provider Identifier

Tyler L Brown, M.A., CCC-SLP

Tyler L Brown, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Bolivar, NY and a listed phone number of (716) 474-5557.

NPI 1154207447Bolivar, NYSpeech-Language Pathologist

Profile Overview

NPI
1154207447
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 13, 2025
Last Updated
August 13, 2025

Practice Location

  • 112 Liberty St
  • Bolivar, NY 14715-1130

Phone: (716) 474-5557

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1154207447
Entity Type
Individual
Last Name
Brown
First Name
Tyler
Middle Name
L
Credential
M.A., CCC-SLP
Mailing Street Address
112 Liberty St
Mailing City
Bolivar
Mailing State
NY
Mailing ZIP Code
14715-1130
Mailing Country
US
Mailing Phone
(716) 474-5557
Practice Street Address
112 Liberty St
Practice City
Bolivar
Practice State
NY
Practice ZIP Code
14715-1130
Practice Country
US
Practice Phone
(716) 474-5557
Enumeration Date
August 13, 2025
Last Updated
August 13, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)