| Doctor Name: | DR. THOMAS S TYSON |
| NPI Number: | 1508085572 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 014216 |
| Business Practice Address: | 13 Lacy Ct Blue Point, NY - 117151610 |
| Business Phone Number: | 6313638946 |
| Business Fax Number: | |
| Mailing Address: | 13 Lacy Ct, BLUE POINT |
| State: | NY |
| Postal Code: | 117151610 |
| Phone Number: | 6313638946 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 014216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |