Provider Demographics
NPI:1124856513
Name:ORI, TYNE (PHD)
Entity type:Individual
Prefix:DR
First Name:TYNE
Middle Name:
Last Name:ORI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:TYNE
Other - Middle Name:
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3227 75TH AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1906
Mailing Address - Country:US
Mailing Address - Phone:909-436-7627
Mailing Address - Fax:
Practice Address - Street 1:3227 75TH AVE APT 303
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-1906
Practice Address - Country:US
Practice Address - Phone:909-436-7627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07220103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling