Individual
EDWARD CHARLES MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
15 CORNELL RD, LATHAM, NY 12110-1491
(518) 510-3100
Mailing address
15 CORNELL RD, LATHAM, NY 12110-1491
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
05/23/2025
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