Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 103K00000X | Behavior Analyst | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TC1900X | Counseling Psychologist |
NPI | 1073023669 |
---|---|
Provider Name | Tyree Lamar Schoolfield |
First Address | Las Vegas, NV 89108-3594 |
Second Address | Las Vegas, NV 89108-3594 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2017 |
Last Update Date | 09/10/2017 |