Individual provider · Type 1 NPI

Tyson Blake Prouse, M.S., T-LMLP

Clinical Psychologist · El Dorado, KS

NPI number 1952587792 Active

Practice location

120 S Gordy St Ste 3
El Dorado, KS 67042-2900

Fax (316) 321-3957

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XT-LMLP 1146 (KS)

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…

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About NPI 1952587792

Tyson Blake Prouse, M.S., T-LMLP's National Provider Identifier is 1952587792, issued on Jan 10, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in El Dorado, KS. The record was last updated on Jan 10, 2008.