Tyc, Vida L
Tyc, Vida L is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Tyc, Vida L can be contacted via phone (901) 595-3006.Contact Information
Primary practice address
262 Danny Thomas Pl
Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1467 | Tennessee |
Profile Details
| NPI number | 1932194453 |
|---|---|
| LBN Legal business name | Tyc, Vida L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jan 12th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932194453 | NPPES |
| Tennessee | MEDICAID | 5440512 |
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