Individual
KATHERINE ELIZABETH TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
205 SAGE RD, CHAPEL HILL, NC 27514-6995
(919) 942-4166
(919) 942-8693
Mailing address
205 SAGE RD, CHAPEL HILL, NC 27514-6995
(919) 942-4166
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4840
NC
Other
Enumeration date
08/05/2014
Last updated
09/10/2015
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