Russell M Tyler
Clinical Psychologist Forensic Psychologist Cognitive & Behavioral Psychologist
115 1st St. N
Brainerd
, Minnesota 56401
Russell M Tyler
Clinical Psychologist Forensic Psychologist Cognitive & Behavioral Psychologist
115 1st St. N
Brainerd
, Minnesota 56401
(218) 828-4209
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Forensic Psychologist
Languages spoken
- English
Location
First Address
- Russell M Tyler
- 723 S 5th St
- Brainerd, MN
- Zip : 56401-4018
- Fax : (218) 828-4209
- Phone : (218) 828-2948
Second Address
- Russell M Tyler
- 115 1st St. N
- Brainerd, MN
- Zip : 56401
- Fax : (218) 828-4209
- Phone : (218) 828-6274
Reviews
FAQs
Where did Russell M Tyler attend graduate school?
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Where did Russell M Tyler do his fellowship?
Is Russell M Tyler board certified?
In what state does Russell M Tyler practice in?
Where is Russell M Tyler ’s practice located?
What is Russell M Tyler ’s gender?
Is Russell M Tyler a sole practitioner?
Is Russell M Tyler accepting new patients?
What languages does Russell M Tyler speak?
Does Russell M Tyler accept insurance?
Does Russell M Tyler offers telemedicine?
What is Russell M Tyler ’s professional license number?
What is Russell M Tyler ’s NPI number?
Does Russell M Tyler have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | LP0053 | MN |
| N | 103G00000X | Clinical Psychologist | LP0053 | MN |
| N | 103TC0700X | Clinical Psychologist | LP0053 | MN |
| N | 103TF0200X | Forensic Psychologist | LP0053 | MN |
National Provider Identifier
| NPI | 1134287766 |
|---|---|
| Provider Name | Russell M Tyler |
| First Address | Brainerd, MN 56401-4018 |
| Second Address | Brainerd, MN 56401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 059T6TY | BLUE CROSS BLUE SHIELD (01) | MN |
| 143658 | UCARE (01) | MN |
| 61-58824 | UNITED BEHAVORIAL HEALTH (01) | MN |
| HP65311 | HEALTH PARTNERS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.