Doctor Name: | DR. MERRILL D PALETZ |
NPI Number: | 1679521157 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PS001178L |
Business Practice Address: | 21 Stella Dr Churchville, PA - 189661157 |
Business Phone Number: | 2153649920 |
Business Fax Number: | |
Mailing Address: | 21 Stella Dr, CHURCHVILLE |
State: | PA |
Postal Code: | 189661157 |
Phone Number: | 2153649920 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS001178L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |