Tyson, Emily C

Tyson, Emily C is an individual health care provider with primary practice located at 90 S Park St Ste 2 , Willimantic CT 06226-3336. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tyson, Emily C can be contacted via phone (860) 207-0499.

Contact Information

Primary practice address
90 S Park St Ste 2 Willimantic CT 06226-3336
Phone: (860) 207-0499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 003673 Connecticut

Profile Details

NPI number 1487212734
LBN Legal business name Tyson, Emily C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2019
Last updated Jun 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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