Tyler Ray Eudaly is a Peer Specialist based in Vinita, OK. Tyler Ray Eudaly practices in Vinita, OK. The NPI Number for Tyler Ray Eudaly is 1073378642 and holds a License No. (Oklahoma).
The current practice location address for Tyler Ray Eudaly is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 844-458-2100.
Location: 405 E Excelsior Ave, Vinita, OK, 74301-4226
Provider Profile Details
NPI Number
1073378642
Provider Name
Tyler Ray Eudaly
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E Excelsior Ave, Vinita, OK, 74301-4226
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
State
Zip
74301-4226
Phone Number
844-458-2100
Fax Number
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
State
Zip
74301-4226
Phone Number
844-458-2100
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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