Individual
DR. PHYLLIS TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1687 114TH AVE SE, BELLEVUE, WA 98004-6964
(206) 935-4249
Mailing address
7701 RIDGECREST LN, MERCER ISLAND, WA 98040-5540
(206) 935-4249
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PY 3713
WA
Other
Enumeration date
05/24/2007
Last updated
08/30/2007
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