Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYRA DEANINE OLIVER
Active Sole ProprietorTYRA DEANINE OLIVER is a Clinical Social Worker healthcare provider located in RIVERDALE, Illinois. NPI 1437471562 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RIVERDALE, IL
Registration Details
- NPI Number
- 1437471562
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2010 (16.476633605716 yrs)
- Last Updated
- Sep 20, 2020
- License
-
149013879 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
316 W 145TH STRIVERDALE, IL, 608272711Browse IL providers · Browse ZIP 60827
- Phone
- 7083072307
- Fax
- 7088419568
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.