NPI 1003175118

Mary Lawrence Tyler, LCSW

Practitioner Clinical Social Worker Eugene, OR

Practice location

Address: 1788 Cal Young Rd #185, Eugene, OR 97401-7638
Phone: (808) 284-6053

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 3808-LCSW (AZ)

Other Social Worker providers in Oregon →

Registry record

NPI: 1003175118
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2012
Record last updated: 9 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.