| Dr Tyree Brinson & Associates, Llc | |
|
3506 Ionia Ave Olympia Fields IL 60461-1315 | |
| (773) 727-9417 | |
| Not Available |
| Full Name | Dr Tyree Brinson & Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3506 Ionia Ave, Olympia Fields, Illinois |
| Authorized Official Name and Position | Tyree Brinson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7737279417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyree Brinson & Associates, Llc 2601 Lincoln Hwy Ste 104 Olympia Fields IL 60461-1844 Ph: () - | Dr Tyree Brinson & Associates, Llc 3506 Ionia Ave Olympia Fields IL 60461-1315 Ph: (773) 727-9417 |
| NPI Number | 1861825531 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Medicare PECOS PAC ID | 2062893340 |
|---|---|
| Medicare Enrollment ID | O20220718002422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861825531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071-008540 (Illinois) | Primary |
| Provider Name | Tyree D. Brinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891945291 PECOS PAC ID: 4981841749 Enrollment ID: I20130515000146 |
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