Tyler Martawibawa
Tyler Martawibawa is a Marriage & Family Therapist in Sycamore, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
240 Edward StSycamore, IL 60178-2155
Phone: (847) 707-2689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1548890635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2020 |
| Last updated in NPPES | January 17, 2020 |
| Certification date | January 17, 2020 |
| Mailing address | 240 Edward St, Sycamore, IL 60178-2155 |
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