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Dr. Mary Dolores Tyll, PHDABPPMSCP
Clinical Psychologist in Crownpoint, New Mexico
NPI 1356498919

Mary Dolores Tyll is a Clinical Psychologist based in Crownpoint, NM and is specialized in Clinical. Mary Dolores Tyll practices in Crownpoint, NM and has the professional credentials of PHDABPPMSCP. The NPI Number for Mary Dolores Tyll is 1356498919 and holds a License No. 1310 (New Mexico).

The current practice location address for Mary Dolores Tyll is Crownpoint Healthcare Facility/New Horizon Wellness Ctr, Crownpoint, NM and can be reached out via phone at 505-786-6309 and via fax at 505-786-2519.

Location: Crownpoint Healthcare Facility/New Horizon Wellness Ctr, Crownpoint, NM, 87313-0358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356498919
Provider Name
Mary Dolores Tyll
Credential
PHDABPPMSCP
Provider Entity Type
Individual
Gender
Female
Address
Crownpoint Healthcare Facility/New Horizon Wellness Ctr, Crownpoint, NM, 87313-0358
Phone Number
505-786-6309
Fax Number
505-786-2519
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PY6142 01 FL FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE-PSYCHOLOGY
1310 01 NM NM BOARD OF PSYCHOLOGIST EXAMINERS-PSYCHOLOGY
institution
Provider Business Practice Location Address Details
Address
Crownpoint Healthcare Facility/New Horizon Wellness Ctr
City
Crownpoint
State
New Mexico
Zip
87313-0358
Phone Number
505-786-6309
Fax Number
505-786-2519
person
Provider Business Mailing Address Details
Address
Crownpoint Healthcare Facility/New Horizon Wellness Ctr
City
Crownpoint
State
New Mexico
Zip
87313-0358
Phone Number
505-786-6309
Fax Number
505-786-2519
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1310 (New Mexico)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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