NPI 1952704413 DR. BRAD TYSON PSY.D. KENT WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Brad Tyson - NPI: 1952704413

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. BRAD TYSON
NPI Number: 1952704413
Entity Type Code: Individual (1)
Gender: M
Credentials: PSY.D.
License Number: PSYC.PY.60458583
Business Practice Address: 24217 139th Ave Se
Kent, WA - 980425166
Business Phone Number: 2537977431
Business Fax Number:
Mailing Address: 24217 139th Ave Se,
KENT
State: WA
Postal Code: 980425166
Phone Number: 2537977431
Fax Number:
NPI Enumeration Date: 09/29/2014
NPI Last Update Date: 09/29/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103G00000X
License Number: PSYC.PY.60458583
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Clinical Neuropsychologist
Taxonomy Specialization:
Taxonomy Definition:
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.


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