Tyson, William Michael

Tyson, William Michael is an individual health care provider with primary practice located at 16426 Hawfield Woods Ln , Charlotte NC 28277-6108. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Tyson, William Michael can be contacted via phone (704) 540-4291.

Contact Information

Primary practice address
16426 Hawfield Woods Ln Charlotte NC 28277-6108
Phone: (704) 540-4291
Fax: (704) 541-0319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1169 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1169 North Carolina
Behavioral Health & Social Service Providers / Forensic 103TF0200X 1169 North Carolina
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 1169 North Carolina

Profile Details

NPI number 1790763308
LBN Legal business name Tyson, William Michael
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 28th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790763308 NPPES
North Carolina Other 461457000 MAGELLAN

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