Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY DOLORES TYLL, PHD ABPP MSCP
ActiveDR. MARY DOLORES TYLL, PHD ABPP MSCP is a Clinical Psychologist healthcare provider located in TRUTH OR CONSEQUENCES, New Mexico. NPI 1356498919 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TRUTH OR CONSEQUENCES, NM
Registration Details
- NPI Number
- 1356498919
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2007 (19.639119575428 yrs)
- Last Updated
- Apr 17, 2025
- Licenses
-
1310 (NM)PSY-RXP0061 (NM)PY 6142 (FL)
Practice Information
- Address
-
509 MARR STTRUTH OR CONSEQUENCES, NM, 879013335Browse NM providers · Browse ZIP 87901
- Phone
- 9159299362
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Prescribing Psychologist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.