Tyler Michael Dwyer, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Graham, NC
NPI 1104555895 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1104555895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 14586 (NC)
- Practice address
- 215 College St
Graham, NC 27253-2206 - Phone
- (352) 281-8893
- NPI assigned
- Jun 7, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14586 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14586 | NC | Yes |
Addresses
Primary practice location
215 College St
Graham, NC 27253-2206
Mailing address
215 College St
Graham, NC 27253-2206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14586 | Other | NC | NC SLP LICENSE |
Other providers in Graham, NC
- Dayena Lee, DDS and Kandice Lee, DDS 2, PLLC
- Hallie Elizabeth Denunzio
- Developmental Pathways, Inc.
- Divine Wisdom Intervention, LLC
- Stephanie Dunn
- E-Merge Resources
- Eastway Family Care
- Eckerd Corporation
- Cary Eddy
- Ashley Venise Edgerton
All providers in Graham, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.