Individual
DR. ELENA AURORA TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2600 COLLEGE AVE NE, RIO RANCHO, NM 87144-2103
(505) 994-5050
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-2023-0024
NM
103TC0700X
Clinical Psychologist
PSY-2023-0024
NM
103TC2200X
Clinical Child & Adolescent Psychologist
PSY-2023-0024
NM
103TP2701X
Group Psychotherapy Psychologist
PSY-2023-0024
NM
Other
Enumeration date
05/02/2020
Last updated
10/29/2024
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