Tyson Spears's National Provider Identifier (NPI) Details
Tyson Spears, MS, LPC
NPI: 1891379558
Enumeration Date: 2021-05-10
Last updated: 2021-05-10
Sole Proprietor: YES
Status: active
Postal Address: 6118 S MERRILL AVE, CUDAHY, WI
Phone: 414-578-6625
Primary Practice Address: 6118 S MERRILL AVE, CUDAHY, WI
Practice's phone: 414-578-6625