Individual
PROF. TYREK J PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CT
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
CT
103TC1900X
Counseling Psychologist
—
CT
Other
Enumeration date
07/23/2020
Last updated
12/07/2020
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