Tyla Jean Mixon
Tyla Jean Mixon is a Student in an Organized Health Care Education/Training Program in San Leandro, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3081 Teagarden StSan Leandro, CA 94577-5720
Phone: (510) 347-4620
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 1285411108 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 1285411108 (CA) |
Record details
| NPI number | 1285411108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 13, 2023 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 9, 2024 |
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