Michael Tyson, LMFT
NPI #1417975400 in Capitola, California
Provider Information
- NPI Number
- 1417975400
- Entity Type
- Individual
- Name
- Michael Tyson, LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Jul 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4245 CAPITOLA RD
- Address 2
- SUITE 205
- City
- Capitola
- State
- California
- ZIP Code
- 95010-3573
- Phone
- (831) 475-6711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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