CARLY TYSCH
NPI 1720495823
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Carly Tysch's NPI number?

The NPI number for Carly Tysch is 1720495823. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Q: What is Carly Tysch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Tysch was last updated on September 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2014

734 10TH AVE, SAN DIEGO, CA 92101(619) 239-4663 Get Directions Write a Review

NPPES record last updated: September 6, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Carly Tysch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY TYSCH (NPI 1720495823) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1720495823

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCARLY TYSCH

Location Address734 10TH AVESan Diego, CA 92101-6502

Mailing Address734 10th AveSan Diego, CA 92101-6502 · (619) 239-4663

Phone(619) 239-4663

Sole ProprietorNo

Enumeration DateJuly 21, 2014

Last NPPES UpdateSeptember 6, 2014

✔ NPI 1720495823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

734 10TH AVE, San Diego, CA 92101

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISSA ANN MAITINO M.A.

Counselor (Mental Health)