Individual
JAMES MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC PSYCHOLOGIST
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
(304) 341-0499
Mailing address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 341-0511
(304) 341-0499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
Enumeration date
10/10/2011
Last updated
10/10/2011
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