Individual
TERRI FERNANDEZ-TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 N WARREN ST, HELENA, MT 59601-4030
(406) 431-3790
Mailing address
PO BOX 330, HELENA, MT 59624-0330
(406) 431-3790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-202256
ID
103T00000X
Psychologist
Primary
PSY-PSY-LIC-1193
MT
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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