| 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 |