William Michael Tyson in Charlotte - Forensic
William Michael Tyson - NPI 1790763308
William Michael Tyson is a Forensic in Charlotte, North Carolina. William Michael Tyson practices all healthcare services and medical treatments related to Forensic. The NPI Number for William Michael Tyson is 1790763308. The last update date is 2020-07-28.
William Michael Tyson's current location address is 16147 Lancaster Hwy Ste 110, Charlotte, North Carolina. You can contact this provider via phone number 7045404291 and fax number 7045410319. The mailing address for William Michael Tyson is 16147 Lancaster Hwy Ste 110, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Michael Tyson |
|---|---|
| Address | 16147 Lancaster Hwy Ste 110, Charlotte, North Carolina |
| Phone Number | 7045404291 |
| Fax Number | 7045410319 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1790763308 |
|---|---|
| Provider Enumeration Date | 2006-01-04 |
| Last Updated Date | 2020-07-28 |
Provider Mailing Address Detail
| Address | 16147 Lancaster Hwy Ste 110 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282774196 |
| Phone Number | 7045404291 |
| Fax Number | 7045410319 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 1169 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 461457000 | NC | MAGELLAN |
Post Comment/ Review Below
What is the William Michael Tyson's unique identification number?
The William Michael Tyson has been assigned the NPI (National Provider Identifier) Number 1790763308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of William Michael Tyson?
The William Michael Tyson is physically situated at 16147 Lancaster Hwy Ste 110, in the city of Charlotte, state of NC, with the postal code 282774196.
What is William Michael Tyson's area of expertise and its corresponding taxonomy classification?
The William Michael Tyson's field of specialization is Forensic, and it falls under the taxonomy code 103Tf0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the William Michael Tyson receive the assignment of its 1790763308 from the Centers for Medicare & Medicaid Services?
The William Michael Tyson was issued its 1790763308 by the Centers for Medicare & Medicaid Services on 2006-01-04.
As of what date were the details pertaining to William Michael Tyson last refreshed?
The information related to the William Michael Tyson, including its address, specialty, and other relevant details, was last updated on 2020-07-28.
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