Doctor Name: | TERI LYNN MERRITT |
NPI Number: | 1033340617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS. |
License Number: | 39001991 |
Business Practice Address: | 322 N Main St Kokomo, IN - 469014622 |
Business Phone Number: | 7654538555 |
Business Fax Number: | |
Mailing Address: | 322 N Main St, KOKOMO |
State: | IN |
Postal Code: | 469014622 |
Phone Number: | 7654538555 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |