Tyler L Brown, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLO14992 Issued in PA

Practice address

112 Liberty St
Bolivar, NY 14715-1130

Phone

(716) 474-5557

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1154207447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LIBERTY ST",
            "city": "BOLIVAR",
            "state": "NY",
            "postal_code": "147151130",
            "telephone_number": "716-474-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LIBERTY ST",
            "city": "BOLIVAR",
            "state": "NY",
            "postal_code": "147151130",
            "telephone_number": "716-474-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TYLER",
        "middle_name": "L",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLO14992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Baron
• Jennifer Baxter, LPN
• Bolivar Fire Department, Inc.
• Bolivar-Richburg Central School District
• McKayla Renee Boll, OTR/L
• Sarah Elizabeth Burdick, LCSW
• Thomas G Caruso, BC-HIS
• Cassie Dora Craft, LPN
• Tracie Dawn Edwards, HEARING AID SPECIALI
• Ruth M Faust, LPN

• Speech-Language Pathologist in Bolivar, NY
• Providers in Bolivar, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.