Individual provider · Type 1 NPI

Breque Bonee Tyson, PhD

Clinical Psychologist · Fort Bragg, NC

NPI number 1487887808 Active

Practice location

Womack Army Medical Ctr, 2817 Rock Merritt
Fort Bragg, NC 28310-0001

Call (919) 219-5330 Map

Mailing address

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2320 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1487887808

Breque Bonee Tyson, PhD's National Provider Identifier is 1487887808, issued on Sep 2, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Aug 12, 2026.