Individual provider · Type 1 NPI
Mary Dolores Tyll, PHD ABPP MSCP
Clinical Psychologist · Truth Or Consequences, NM
Practice location
509 Marr St
Truth Or Consequences, NM 87901-3335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 1310 (NM) |
| Prescribing (Medical) Psychologist | 103TP0016X | PSY-RXP0061 (NM) |
| Clinical Psychologist Primary | 103TC0700X | PY 6142 (FL) |
Clinical Psychologist: 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 discip…
About NPI 1356498919
Mary Dolores Tyll, PHD ABPP MSCP's National Provider Identifier is 1356498919, issued on Jan 5, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Truth Or Consequences, NM. The record was last updated on Apr 17, 2025.