Individual
DR. NILOUFER MOIZ MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
22 WILSON AVE NE, SUITE 110, SAINT CLOUD, MN 56304-0440
(320) 251-7700
Mailing address
2925 MONROE PL, SAINT CLOUD, MN 56303-1652
(320) 253-3753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3296
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273694000
—
MN
Enumeration date
04/20/2007
Last updated
03/17/2018
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