Terry, Tyson Bruce

Terry, Tyson Bruce is an individual health care provider with primary practice located at 2202 N Main St Ste 301 , Cedar City UT 84720-9791. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Terry, Tyson Bruce can be contacted via phone (435) 586-4479.

Contact Information

Primary practice address
2202 N Main St Ste 301 Cedar City UT 84720-9791
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1114193380
LBN Legal business name Terry, Tyson Bruce
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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