NPI 1013981158

Tyler James Pollack, LMSW

Practitioner Clinical Social Worker Plymouth, MI

Practice location

Address: 34 N Main St Suite 300, Plymouth, MI 48170-1272
Phone: (734) 546-3833
Mailing address: 3952 Elizabeth Ave, Canton, MI 48188-7223

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801084492 (MI)

Other Social Worker providers in Michigan →

Registry record

NPI: 1013981158
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2006
Record last updated: 2 May 2008

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.