Individual
MARYJO TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13460 WOODSIDE LN, NEWPORT NEWS, VA 23608-1364
(757) 886-7744
(757) 989-0231
Mailing address
12465 WARWICK BLVD, NEWPORT NEWS, VA 23606-3041
(757) 886-7744
(757) 989-0231
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0605142
VA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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