Wylie, Thomas Frederick

Wylie, Thomas Frederick is an sole proprietor health care provider with primary practice located at 11573 Los Osos Valley Rd Suite C, San Luis Obispo CA 93405-6473. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Wylie, Thomas Frederick can be contacted via phone (805) 545-8951.

Contact Information

Primary practice address
11573 Los Osos Valley Rd Suite C San Luis Obispo CA 93405-6473
Phone: (805) 545-8951
Fax: (805) 545-8951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY12486 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY12486 California

Profile Details

NPI number 1336209774
LBN Legal business name Wylie, Thomas Frederick
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 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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