| Mr Tyson Blake Prouse, MS, T-LMLP | |
|
120 S Gordy St Ste 3, El Dorado, KS 67042-2900 | |
| (316) 321-6088 | |
| (316) 321-3957 |
| Full Name | Mr Tyson Blake Prouse |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 120 S Gordy St Ste 3, El Dorado, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952587792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | T-LMLP 1146 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyson Blake Prouse, MS, T-LMLP 120 S Gordy St Ste 3, El Dorado, KS 67042-2900 Ph: (316) 321-6088 | Mr Tyson Blake Prouse, MS, T-LMLP 120 S Gordy St Ste 3, El Dorado, KS 67042-2900 Ph: (316) 321-6088 |
Dr. Marcia Lynn Mccoy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 S. Main Street, Suite 205, El Dorado, KS 67042 Phone: 316-322-9500 Fax: 316-322-9500 | |
Mrs. Makenzie Dunn, LMLP-T Psychologist Medicare: Not Enrolled in Medicare Practice Location: 524 N Main St, El Dorado, KS 67042 Phone: 316-321-6036 | |
Chelsea J Nguyen, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 524 N Main St, El Dorado, KS 67042 Phone: 316-321-6036 | |
Dr. Monica S. Brooker, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2365 W Central Ave, El Dorado, KS 67042 Phone: 316-321-6036 Fax: 316-321-6336 | |
Bradley W. Base, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2365 W Central Ave, El Dorado, KS 67042 Phone: 316-321-6036 | |
Kassy Amber Johnson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2365 W Central Ave, El Dorado, KS 67042 Phone: 316-321-6036 | |
Mr. Eric A Mcdaniel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2365 W Central Ave, El Dorado, KS 67042 Phone: 316-321-6036 |