NPI | 1649356379 |
---|---|
Former Name | STEPHANIE MEAGAN MERKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301013866) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P2980) |
103TC0700X Psychologist, Clinical (Licence: NY 016982) | |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-12-03 |