DR. Mary Dolores Tyll PHD ABPP MSCP

  • NPI 1356498919
According to our database, the NPI number for DR. Mary Dolores Tyll PHD ABPP MSCP is 1356498919 and activated since 17 years ago. DR. Mary Dolores Tyll PHD ABPP MSCP is an individual provider who specializes in Clinical, and the primary practice location is Crownpoint Healthcare Facility/new Horizon Wellness Ctr, Crownpoint, NM 87313. You can also contact DR. Mary Dolores Tyll PHD ABPP MSCP via telephone number is (505) 786-6309. Provider NPI information was last updated on 11/27/2019.

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Overview of DR. Mary Dolores Tyll PHD ABPP MSCP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/05/2007
  • Last updated: 11/27/2019

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: PY 6142
  • License State: FL

Provider Mailing Address

  • Address: Po Box 358
    Crownpoint, NM 87313
  • Phone: 505-786-6309
  • Fax: 505-786-2519

Provider Practice Location

  • Address: Crownpoint Healthcare Facility/new Horizon Wellness Ctr
    Hwy 371 & Navajo Route 9
    Crownpoint, NM 87313
  • Phone: 505-786-6309
  • Fax: 505-786-2519

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: PY 6142
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1310
  • Identifier Type: Other
  • Identifier State: NM
  • Issuer: NM BOARD OF PSYCHOLOGIST EXAMINERS-PSYCHOLOGY

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Mary Dolores Tyll PHD ABPP MSCP?
  • A: The npi number for DR. Mary Dolores Tyll PHD ABPP MSCP is 1356498919.
  • Q: What are DR. Mary Dolores Tyll PHD ABPP MSCP's specialties?
  • A: DR. Mary Dolores Tyll PHD ABPP MSCP's specialties are Clinical and different specialities.
  • Q: What is the medical license for DR. Mary Dolores Tyll PHD ABPP MSCP?
  • A: The medical license number for DR. Mary Dolores Tyll PHD ABPP MSCP is PY 6142 and issued in FL in USA.
  • Q: Where is DR. Mary Dolores Tyll PHD ABPP MSCP practice location?
  • A: DR. Mary Dolores Tyll PHD ABPP MSCP is practicing at Crownpoint Healthcare Facility/new Horizon Wellness Ctr, Crownpoint, NM 87313.
  • Q: How to contact DR. Mary Dolores Tyll PHD ABPP MSCP?
  • A: You can contact DR. Mary Dolores Tyll PHD ABPP MSCP via 505-786-6309.
Medicare Specialty
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Sports Medicine
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