Tyler Secor's National Provider Identifier (NPI) Details
Tyler Secor, MS, LPC-IT
NPI: 1740840420
Enumeration Date: 2019-06-16
Last updated: 2019-06-16
Sole Proprietor: NO
Status: active
Postal Address: 630 ELM ST, WEST BEND, WI
Phone: 262-338-1661
Primary Practice Address: 1622 CHESTNUT ST, WEST BEND, WI
Practice's phone: 262-306-9800