Doctor Name: | MS. DAWN MERRILL |
NPI Number: | 1053740811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, EDM, LCMHC |
License Number: | 1014 |
Business Practice Address: | 120 Main St Suite 103 Nashua, NH - 03060 |
Business Phone Number: | 6033185219 |
Business Fax Number: | |
Mailing Address: | 120 Main St., Suite 103 NASHUA |
State: | NH |
Postal Code: | 03060 |
Phone Number: | 6033185219 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2013 |
NPI Last Update Date: | 11/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |