Individual provider · Type 1 NPI

Kelly M. Tyner, PhD

Marriage & Family Therapist · Shreveport, LA

NPI number 1669818985 Active

Practice location

820 Jordan St, Suite 570
Shreveport, LA 71101-4518

Call (318) 415-9437 Map

Mailing address

9369 Delores Dr
Shreveport, LA 71118-3304

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT1163 (LA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1669818985

Kelly M. Tyner, PhD's National Provider Identifier is 1669818985, issued on May 14, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Shreveport, LA. The record was last updated on May 14, 2013.