MRS. TYANNE LYNN MISKOV MA, LLP, CAADC
NPI 1962551705
Psychologist in Waterford, MI

Active since January 10, 2007
269 SUMMIT DR, WATERFORD, MI 48328(248) 706-3450(248) 706-3455 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Tyanne Lynn Miskov Ma, Llp, Caadc NPPES

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

MRS. TYANNE LYNN MISKOV MA, LLP, CAADC (NPI 1962551705) is an individual psychologist in Waterford, Michigan, licensed in Michigan (6301013466) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1962551705
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. TYANNE LYNN MISKOVCredential: MA, LLP, CAADC
Location Address269 SUMMIT DRWaterford, MI 48328-3364
Mailing Address269 Summit DrWaterford, MI 48328-3364 · (248) 706-3450 · Fax (248) 706-3455
Fax(248) 706-3455
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 29, 2012
NPI 1962551705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301013466
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

269 SUMMIT DR, Waterford, MI 48328

Other Identifiers 1

Medicaid4483587MI

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
269 SUMMIT DR
WATERFORD, MI 48328
Social Worker (Clinical)
269 SUMMIT DR
WATERFORD, MI 48328
Counselor (Professional)
269 SUMMIT DR
WATERFORD, MI 48328
Counselor (Professional)
269 SUMMIT DR
WATERFORD, MI 48328
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
269 SUMMIT DR
WATERFORD, MI 48328
Counselor (Addiction (Substance Use Disorder))
269 SUMMIT DR
WATERFORD, MI 48328
Counselor (Addiction (Substance Use Disorder))
269 SUMMIT DR
WATERFORD, MI 48328
Social Worker
269 SUMMIT DR
WATERFORD, MI 48328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962551705, enumerated as an "individual" on January 10, 2007.

The provider is located at 269 SUMMIT DR WATERFORD, MI 48328 and the phone number is (248) 706-3450.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.