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Individual

DR. DEBRA L MERRIFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4915 W BELL RD, SUITE 202, GLENDALE, AZ 85308
(602) 852-0911
(602) 938-6640
Mailing address
4915 W BELL RD, SUITE 202, GLENDALE, AZ 85308-3425
(029) 420-2526
(602) 938-6640

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1747
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154540433
NPI
AZ
01
1747
LICENSE
AZ
Enumeration date
04/24/2007
Last updated
11/14/2019
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