Individual
TYREE LEGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Mailing address
3433 W SHAW AVE STE 108, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
33159
—
167G00000X
Licensed Psychiatric Technician
Primary
PT33159
CA
167G00000X
Licensed Psychiatric Technician
—
—
Other
Enumeration date
07/13/2016
Last updated
04/02/2025
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