Individual
ELIZABETH ANN MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2562 OCCIDENTAL CIR, RIVERSIDE, CA 92507-2772
(951) 212-0745
Mailing address
2562 OCCIDENTAL CIR, RIVERSIDE, CA 92507-2772
(951) 212-0745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
36014
CA
Other
Enumeration date
11/03/2022
Last updated
10/17/2023
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