Dr. Tyshawn Thompson, Psy.D.
Psychologist, Clinical in Bronx, NY. Individual provider (NPI-1).
NPI number1558090183
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1558090183
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyshawn Thompson
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 026711 | NY | Yes |
Practice location
3544 Jerome AveBronx, NY 10467-1005
Phone 718-547-6011
Mailing address
28-07 Zachary TerFair Lawn, NJ 07410-3927
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