| Doctor Name: | MISS CARLA-MARIE MERCUN |
| NPI Number: | 1023383809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, RDT |
| License Number: | |
| Business Practice Address: | 275 North St St. Vincent's Westchester, One Doty Harrison, NY - 105281140 |
| Business Phone Number: | 9149255336 |
| Business Fax Number: | |
| Mailing Address: | 275 North Street, St. Vincent's Westchester HARRISON |
| State: | NY |
| Postal Code: | 10528 |
| Phone Number: | 9149255336 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2012 |
| NPI Last Update Date: | 03/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |