Tyrrell, Diane S

Tyrrell, Diane S is an sole proprietor health care provider with primary practice located at 5500 Main St Suite 207, Williamsville NY 14221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tyrrell, Diane S can be contacted via phone (716) 633-6900.

Contact Information

Primary practice address
5500 Main St Suite 207 Williamsville NY 14221
Phone: (716) 633-6900
Fax: (716) 633-6902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009444-1 New York

Profile Details

NPI number 1639163280
LBN Legal business name Tyrrell, Diane S
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Jul 10th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639163280 NPPES
New York Other 000510515001 HEALTH NOW

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