Merrill, J. Tyson

Merrill, J. Tyson is an sole proprietor health care provider with primary practice located at 313 Roat St , Ithaca NY 14850-2739. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Merrill, J. Tyson can be contacted via phone (607) 279-1588.

Contact Information

Primary practice address
313 Roat St Ithaca NY 14850-2739
Phone: (607) 279-1588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 017082 New York

Profile Details

NPI number 1235499138
LBN Legal business name Merrill, J. Tyson
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2012
Last updated Aug 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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