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Tyler Scullen

NPI 1306290499 · on the registry since 2016 · sole proprietor

Practice

Address
810 Euterpe St Apt 9208
New Orleans, LA 70130
Phone
(781) 775-7214
Clinicians at this address
2

Registry record

Primary taxonomy
207T00000X
207T00000X
Also registered as
390200000X
Licence states on file
NJ, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana