Matthew T. Tull, PH.D.

Psychologist · Jackson, MS

Individual Active NPI

NPI number 1073753612

Practice location

2500 N State St
Department of Psychiatry
Jackson, MS 39216-4500
Phone
(601) 815-6518

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NPI record

NPI
1073753612
Entity type
Individual (Type 1)
Enumeration date
February 23, 2009
Last updated
January 28, 2025
Certified
January 28, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 6301019358 MI
Clinical Psychologist 103TC0700X 48 834 MS

About Dr. Tull

Matthew T. Tull, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 2500 N State St, Department of Psychiatry, Jackson, MS 39216-4500. The NPI number 1073753612 was assigned on February 23, 2009 and the record was last updated on January 28, 2025.

Dr. Tull lists 2 licenses in the registry: #6301019358 (MI) for Psychologist; #48 834 (MS) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew T. Tull, PH.D.?

The NPI number is 1073753612.

What is the phone number of Dr. Tull?

The phone number listed for the practice location is (601) 815-6518.

Where is Dr. Tull located?

2500 N State St, Department of Psychiatry, Jackson, MS 39216-4500.

What is the taxonomy code for Dr. Tull?

The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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