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Contact Information

ELENA A TYSON, PhD
2600 COLLEGE AVE NE
RIO RANCHO, NM87144-2103
 Phone: 505-994-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELENA A TYSON · (Female)

NPI # 1124649090
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/02/2020
Last updated 10/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # PSY-2023-0024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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