Active NPIIndividual providerSole proprietor

Wayne F Tyrrell, SCD

Psychologist in South Hero, Vermont

NPI Number1639669013
Practice location
82 Lakeview RD, South Hero, VT 05486-4600
Fax
—
Last updated
May 11, 2018

Wayne F Tyrrell is a Psychologist based in South Hero, VT. Wayne F Tyrrell practices in South Hero, VT and has the professional credentials of SCD. The NPI Number for Wayne F Tyrrell is 1639669013 and holds a License No. 4560-PY-PR (MA). The current practice location address for Wayne F Tyrrell is 82 Lakeview RD, South Hero, VT 05486-4600 and can be reached out via phone at 802-777-9093.

Provider Profile Details

NPI Number
1639669013
Provider Name
Wayne F Tyrrell
Credential
SCD
Provider Entity Type
Individual
Gender
Male
Address
82 Lakeview RD, South Hero, VT 05486-4600
Phone Number
802-777-9093
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2018
Last Update Date
May 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Lakeview RD
South Hero, VT 05486-4600
State
Vermont
Zip
05486-4600
Phone Number
802-777-9093
South Hero, VT 05486Get directions →

Provider Business Mailing Address Details

Address
82 Lakeview RD
South Hero, VT 05486-4600
City
South Hero
State
VT
Zip
05486-4600
Phone Number
802-777-9093

License Information

License Number
4560-PY-PR
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wayne F Tyrrell, SCD?

The NPI number of Wayne F Tyrrell, SCD is 1639669013. It was assigned on May 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Wayne F Tyrrell, SCD?

Wayne F Tyrrell, SCD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 4560-PY-PR.

Where does Wayne F Tyrrell, SCD practice?

The practice location is 82 Lakeview RD, South Hero, VT 05486-4600. The office can be reached at 802-777-9093 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639669013 directly on the NPPES registry website.

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