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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TYLER MAXWELL DORITY, PHD, LP

Active Sole Proprietor

DR. TYLER MAXWELL DORITY, PHD, LP is a Clinical Psychologist healthcare provider located in MANKATO, Minnesota. NPI 1104394212 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MANKATO, MN

Registration Details

NPI Number
1104394212
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2018 (7.750656631208 yrs)
Last Updated
Aug 2, 2022
Licenses
LP6328 (MN)
LP6328 (MN)
LP6328 (MN)
Sole Proprietor
Yes

Practice Information

Address
12 CIVIC CENTER PLZ STE 1615
MANKATO, MN, 560017783
Browse MN providers · Browse ZIP 56001
Phone
5073454679
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Forensic Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in MANKATO, MN

Name Credential NPI
DR. DANIEL WILLIAM ZENGA ED. D. 1396729703
STEVEN P PETERSON MS, LP 1326027244
DARCIE GILBERTSON JACOBS PSY D 1831178136
PATRICIA R GUSTAFSON MS LP 1710943840
DR. THEODORE SURDY PHD LP 1063463347
DR. NANCY FENRICK PHD 1073564365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.