Individual
JAMES A TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
788 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-1281
(208) 734-1282
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(207) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-20-2207
ID
Other
Enumeration date
04/26/2006
Last updated
05/12/2008
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