Individual
DR. THOMAS J TYRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1533 S SAINT FRANCIS DR, SUITE E, SANTA FE, NM 87505-4032
(505) 988-4131
(505) 982-6145
Mailing address
1533 S SAINT FRANCIS DR, SUITE E, SANTA FE, NM 87505-4032
(505) 988-4131
(505) 982-6145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0928
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A 1096
—
NM
Enumeration date
08/31/2006
Last updated
07/09/2007
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