Individual
MEIRAV EDLIS MATITYAHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 W 5TH NORTH ST, MORRISTOWN, TN 37814-3810
(423) 586-5032
(423) 581-8473
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P3006
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2007
Last updated
10/14/2010
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