Individual
TYSON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 S CAPITAL OF TEXAS HWY, STE 200, AUSTIN, TX 78746-6544
(512) 767-1136
Mailing address
1515 S CAPITAL OF TEXAS HWY, STE 200, AUSTIN, TX 78746-6544
(512) 767-1136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
38201
TX
103TC0700X
Clinical Psychologist
Primary
PS017720
PA
Other
Enumeration date
08/16/2012
Last updated
02/18/2020
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