Vida L Tyc in Memphis - Clinical Child & Adolescent
Vida L Tyc - NPI 1932194453
Vida L Tyc is a Clinical Child & Adolescent in Memphis, Tennessee. Vida L Tyc practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Vida L Tyc is 1932194453. The last update date is 2011-01-12.
Vida L Tyc's current location address is 262 Danny Thomas Pl, Memphis, Tennessee. You can contact this provider via phone number 9015953006 and fax number 9015953842. The mailing address for Vida L Tyc is 262 Danny Thomas Pl, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vida L Tyc |
|---|---|
| Address | 262 Danny Thomas Pl, Memphis, Tennessee |
| Phone Number | 9015953006 |
| Fax Number | 9015953842 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1932194453 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2011-01-12 |
Provider Mailing Address Detail
| Address | 262 Danny Thomas Pl |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381053678 |
| Phone Number | 9015953006 |
| Fax Number | 9015953842 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1467 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5440512 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Vida L Tyc by the Centers for Medicare & Medicaid Services?
The Vida L Tyc has been issued the NPI (National Provider Identifier) 1932194453. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Vida L Tyc is physically located?
The Vida L Tyc is physically situated at the following address: 262 Danny Thomas Pl, Memphis, TN, 381053678.
What is Vida L Tyc's area of expertise and its corresponding taxonomy classification?
The Vida L Tyc's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932194453 to Vida L Tyc?
The Centers for Medicare & Medicaid Services originally issued the 1932194453 to Vida L Tyc on 2005-09-12.
When was the information pertaining to Vida L Tyc most recently updated or revised?
The details related to Vida L Tyc, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-12.
NPI Number: 1215930573
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