Tyrrell, Diane S
Tyrrell, Diane S is an sole proprietor health care provider with primary practice located at 5500 Main St Suite 207, Williamsville NY 14221. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tyrrell, Diane S can be contacted via phone (716) 633-6900.Contact Information
Primary practice address
5500 Main St Suite 207
Williamsville NY 14221
Phone: (716) 633-6900
Fax: (716) 633-6902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009444-1 | New York |
Profile Details
| NPI number | 1639163280 |
|---|---|
| LBN Legal business name | Tyrrell, Diane S |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jul 10th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639163280 | NPPES |
| New York | Other | 000510515001 | HEALTH NOW |
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