Doctor Name: | DR. GINA TOUCH MERCER |
NPI Number: | 1174758254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 3637 |
Business Practice Address: | 2665 W Wayne Ln Anthem, AZ - 850864915 |
Business Phone Number: | 6233997935 |
Business Fax Number: | 6235518621 |
Mailing Address: | 2665 W Wayne Ln, ANTHEM |
State: | AZ |
Postal Code: | 850864915 |
Phone Number: | 6233997935 |
Fax Number: | 6235518621 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 05/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 3637 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |