DR. J. Tyson Merrill, PSY.D.

NPI #1235499138 in Ithaca, New York

Provider Information

NPI Number: 1235499138
Entity Type: Individual
Name: DR. J. Tyson Merrill, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: May 24, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 313 ROAT ST
City: Ithaca
State: New York
ZIP Code: 14850-2739
Phone: (607) 279-1588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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