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TYLER T. WHITNEY, PSY.D., P.C.

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Company Details

Name: TYLER T. WHITNEY, PSY.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 Oct 2004 (21 years ago)
Financial Date End: 31 Oct 2011
Date dissolved: 13 Jan 2012
Entity Number: 476684
Place of Formation: IDAHO
File Number: 0000476684
ZIP code: 83642
County: Ada County
Mailing Address: 3021 S APPIA AVE MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1659599850

Authorized Person:

Name:
TYLER T WHITNEY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No

Contacts:

Fax:
2083214789

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0002992898 2010-04-05
Application for Reinstatement 0000910056 2010-04-02
Annual Report 0002992897 2008-08-20
Annual Report 0002992896 2007-08-27
Application for Reinstatement 0002992895 2007-05-30

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State