Tyler Lyckberg, | |
1791 Arastradero Rd, Palo Alto, CA 94304-1337 | |
(800) 818-6136 | |
Not Available |
Full Name | Tyler Lyckberg |
---|---|
Gender | Male |
Speciality | Student In An Organized Health Care Education/training Program |
Location | 1791 Arastradero Rd, Palo Alto, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376024398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tyler Lyckberg, 232 Brock Rd, Nevada City, CA 95959-2902 Ph: (530) 575-7221 | Tyler Lyckberg, 1791 Arastradero Rd, Palo Alto, CA 94304-1337 Ph: (800) 818-6136 |
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