IndividualActive
John Tyler
NPI 1699795872 · Clinical Psychologist · Grand Forks, ND
Provider details
- NPI number
- 1699795872
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 37 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2100 S Columbia Rd
Ste 202
Grand Forks, ND 58201-5895
Phone: (701) 772-1588
Fax: (701) 746-6077
Approximate (ZIP-level) locationGet directions
Mailing address
2100 S Columbia Rd
Grand Forks, ND 58201-5895
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.