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Individual

DR. TYRA B VICKERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5860 S CURTICE ST, LITTLETON, CO 80120-1909
(720) 316-3909
Mailing address
12151 W MOUNT POWELL, LITTLETON, CO 80127-3201
(303) 304-6657

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
13939
CO
103TS0200X
School Psychologist
Primary
39807
CO

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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