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

TYLER MARTAWIBAWA

Active

TYLER MARTAWIBAWA is a Marriage & Family Therapist healthcare provider located in SYCAMORE, Illinois. NPI 1548890635 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SYCAMORE, IL

Registration Details

NPI Number
1548890635
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2020 (6.533218534891 yrs)
Last Updated
Jan 17, 2020

Practice Information

Address
240 EDWARD ST
SYCAMORE, IL, 601782155
Browse IL providers · Browse ZIP 60178
Phone
8477072689
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in SYCAMORE, IL

Name Credential NPI
EMILY K HUMMEL M.S., LMFT 1407997208
KEVIN KLOOSTERMAN M.S., LMFT 1265562417
HALIE JO HOWELLS M.A. 1255693792
SARAH WILLIAMS M.A. 1619410248
AMANDA RUPPERT 1720523194
BREANNA MANN 1932743069
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.