MR. Ty Lowell Tulloch, LPC, LSOTP

NPI #1184630063 in Temple, Texas

Provider Information

NPI Number
1184630063
Entity Type
Individual
Name
MR. Ty Lowell Tulloch, LPC, LSOTP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LPC, LSOTP
Enumeration Date
Jul 31, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
616 N MAIN ST
Address 2
SUITE 200
City
Temple
State
Texas
ZIP Code
76501-3249
Phone
(254) 773-9984

Specialties & Taxonomy Codes

Specialty
Counselor

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