Tyran Dewalt
Tyran Dewalt is a Clinical Social Worker in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.
- Licensed in
- KY
- In the registry since
- 2011
Practice location Address checks out
10510 La Grange RdLouisville, KY 40223-1277
Phone: (502) 589-8600
Fax: (502) 589-8771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 260261 (KY) |
|---|
Record details
| NPI number | 1720366933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2011 |
| Last updated in NPPES | December 1, 2025 |
| Certification date | December 1, 2025 |
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