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Mrs. Melissa Ann Tillman, PHD
Clinical Psychologist in Merrick, New York
NPI 1790095784

Melissa Ann Tillman is a Clinical Psychologist based in Merrick, NY and is specialized in Clinical. Melissa Ann Tillman practices in Merrick, NY and has the professional credentials of PHD. The NPI Number for Melissa Ann Tillman is 1790095784 and holds a License No. 20158 (New York).

The current practice location address for Melissa Ann Tillman is 2174 Hewlett Ave, Merrick, NY and can be reached out via phone at 516-858-2877.

Location: 2174 Hewlett Ave, Merrick, NY, 11566-4933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790095784
Provider Name
Melissa Ann Tillman
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
2174 Hewlett Ave, Merrick, NY, 11566-4933
Phone Number
516-858-2877
Fax Number
Provider Enumeration Date
10/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00745088 01 NY AGENCY'S MEDICAID MMIS #
1003991019 01 NY AGENCY'S NPI #
institution
Provider Business Practice Location Address Details
Address
2174 Hewlett Ave
City
Merrick
State
New York
Zip
11566-3606
Phone Number
516-858-2877
Fax Number
person
Provider Business Mailing Address Details
Address
2174 Hewlett Ave
City
Merrick
State
New York
Zip
11566-3606
Phone Number
516-858-2877
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
20158 (New York)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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