Provider Demographics
NPI:1437940145
Name:TYNER, AMBER JADE (MA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:JADE
Last Name:TYNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:JADE
Other - Last Name:GIBBENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1010 ALBION AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-5370
Mailing Address - Country:US
Mailing Address - Phone:530-780-6006
Mailing Address - Fax:
Practice Address - Street 1:1010 ALBION AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-5370
Practice Address - Country:US
Practice Address - Phone:530-780-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist