Tara Lynn Merritt

NPI #1083174353 in Shawnee, Oklahoma

Provider Information

NPI Number: 1083174353
Entity Type: Individual
Name: Tara Lynn Merritt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 22, 2019
Last Updated: Nov 22, 2021

Practice Location

Address: 1336 N HARRISON AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-5206
Phone: (405) 424-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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