Individual
MIKEL M MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
359 MDG, 221 3RD ST W, RANDOLPH AFB, TX 78150
(210) 652-2448
Mailing address
2729 SOCORRO LOOP APT B, HOLLOMAN AFB, NM 88330-7124
(505) 572-5676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
682
NE
Other
Enumeration date
09/22/2006
Last updated
06/11/2018
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