National Provider Identifier
J. Tyson Merrill, PSY.D.
J. Tyson Merrill, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 279-1588.
Profile Overview
- NPI
- 1235499138
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- May 24, 2012
- Last Updated
- August 28, 2012
Practice Location
- 313 Roat St
- Ithaca, NY 14850-2739
Phone: (607) 279-1588
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1235499138
- Entity Type
- Individual
- Last Name
- Merrill
- First Name
- J. Tyson
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 313 Roat St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-2739
- Mailing Country
- US
- Mailing Phone
- (607) 279-1588
- Practice Street Address
- 313 Roat St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2739
- Practice Country
- US
- Practice Phone
- (607) 279-1588
- Enumeration Date
- May 24, 2012
- Last Updated
- August 28, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)