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Tyler King
NPI 1174154579 · on the registry since 2020
Practice
- Address
- 107 S Indiana Ave
Bloomington, IN 47405 - Phone
- (812) 855-4848
- Organisation at this address
- Shape Behavioral Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Sex
- Male
- Record last updated
- 2021-08-10
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 Indiana