| Doctor Name: | MR. JEFFERY T MERCER |
| NPI Number: | 1003117722 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | KY-0549 |
| Business Practice Address: | 11003 Perwinkle Ln Louisville, KY - 402914104 |
| Business Phone Number: | 5026182620 |
| Business Fax Number: | |
| Mailing Address: | 11003 Perwinkle Lane, LOUISVILLE |
| State: | KY |
| Postal Code: | 402914104 |
| Phone Number: | 5026182620 |
| Fax Number: | |
| NPI Enumeration Date: | 11/11/2010 |
| NPI Last Update Date: | 11/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | KY-0549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |