Tyrrell, Thomas J

Tyrrell, Thomas J is an individual health care provider with primary practice located at 1533 S Saint Francis Dr Suite E, Santa Fe NM 87505-4032. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Tyrrell, Thomas J can be contacted via phone (505) 988-4131.

Contact Information

Primary practice address
1533 S Saint Francis Dr Suite E Santa Fe NM 87505-4032
Phone: (505) 988-4131
Fax: (505) 982-6145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0928 New Mexico

Profile Details

NPI number 1396856753
LBN Legal business name Tyrrell, Thomas J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 17 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 1396856753 NPPES
New Mexico MEDICAID A 1096

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