Individual
WILLIAM FRANK MERKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2457
Mailing address
1206 HWY 94, MORA, NM 87732
(505) 454-2457
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1105
NM
103TC0700X
Clinical Psychologist
1937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07019276
—
CO
Enumeration date
11/21/2005
Last updated
01/26/2010
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