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1235499138
J. TYSON MERRILL
ITHACA, NY
NPI
1235499138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 017082)
Enumeration Date
2012-05-24
Last Update Date
2012-08-28
Business Address
Dr. J. TYSON MERRILL Psy.D.
313 ROAT ST
ITHACA, NY 14850-2739
Phone number: 607-279-1588
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Mailing Address
Dr. J. TYSON MERRILL Psy.D.
313 ROAT ST
ITHACA, NY 14850-2739
Phone number: 607-279-1588
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