1356498919 NPI number — DR. MARY DOLORES TYLL PHD ABPP MSCP

Table of content: DR. MARY DOLORES TYLL PHD ABPP MSCP (NPI 1356498919)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356498919 NPI number — DR. MARY DOLORES TYLL PHD ABPP MSCP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TYLL
Provider First Name:
MARY
Provider Middle Name:
DOLORES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD ABPP MSCP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356498919
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
509 MARR ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRUTH OR CONSEQUENCES
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87901-3335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-929-9362
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
509 MARR ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRUTH OR CONSEQUENCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87901-3335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-929-9362
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  1310 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TP0016X , with the licence number: PSY-RXP0061 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: PY 6142 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PSY-RXP0061 . This is a "PRESCRIBING PSYCHOLOGIST" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 1310 . This is a "NM BOARD OF PSYCHOLOGIST EXAMINERS-PSYCHOLOGY" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: PY6142 . This is a "FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE-PSYCHOLOGY" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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