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NPI Code Detail

MEDICARE: BRITTANY TYRRELL LMSW

MEDICARE: BRITTANY TYRRELL LMSW
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
1104100000XSocial Worker225972MA
2104100000XSocial Worker104684TX
3390200000XStudent in an Organized Health Care Education/Training Program
41041C0700XClinical Social Worker104684TX

General Provider Information

NPI Number : 1891345880
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY TYRRELL LMSW
Provider Business Mailing Address
First Line : 13201 LEGENDARY DR APT 8207
Second Line :
City : AUSTIN
State : TX
Zip : 78727-4039
Country : US
Telephone Number : 617-771-5888
Fax Number :
Provider Business Practice Location Address
First Line : 9501 N CAPITAL OF TEXAS HWY STE 201
Second Line :
City : AUSTIN
State : TX
Zip : 78759-7250
Country : US
Telephone Number : 512-578-8070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2019
Last Update Date : 05/04/2023

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