MEDICARE: TUNSTALL PSYCHOLOGICAL SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1447105457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUNSTALL PSYCHOLOGICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	P.O. BOX 24
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889
Country	:	US
Telephone Number	:	252-947-6801
Fax Number	:	910-442-8447

Provider Business Practice Location Address
First Line	:	130 EAST 2ND ST. SUITE F
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889
Country	:	US
Telephone Number	:	252-947-6801
Fax Number	:	910-442-8447

Authorized Official
Title or Position	:	OWNER/ORGANIZER
Name	:	MRS. HILLARY REBECCA TUNSTALL
Credential	:	HSP-PA, BCBA
Telephone Number	:	252-945-0888

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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