Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tyson Blake Prouse, MS, T-LMLP

Individual provider Clinical Psychologist · NPI 1952587792

Mr. Tyson Blake Prouse, MS, T-LMLP is a Clinical Psychologist in El Dorado, Kansas. Licensed in Kansas. Registered with an NPI since 2008.

Licensed in
KS
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

120 S Gordy St Ste 3
El Dorado, KS 67042-2900
Phone: (316) 321-6088
Fax: (316) 321-3957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence T-LMLP 1146 (KS)

Record details

NPI number1952587792
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , T-LMLP
Sole proprietorNo
NPI enumeratedJanuary 10, 2008
Last updated in NPPESJanuary 10, 2008

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