Individual
DR. BREQUE BONEE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
WOMACK ARMY MEDICAL CTR, 2817 ROCK MERRITT, FORT BRAGG, NC 28310-0001
(919) 219-5330
Mailing address
516 SILVERLINER DR, KNIGHTDALE, NC 27545-6611
(919) 219-5330
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2320
NC
Other
Enumeration date
09/02/2009
Last updated
01/22/2026
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