Individual
JENNIFER MERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT, DT
Contact information
Practice address
816 S 1ST ST, PRINCETON, IL 61356-2404
(815) 875-5848
(815) 875-5848
Mailing address
PO BOX 102, PRINCETON, IL 61356-0102
(815) 875-5848
(815) 875-5848
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
JM53230998P
IL
225A00000X
Music Therapist
01376
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371343960
FEIN
IL
Enumeration date
02/20/2007
Last updated
02/02/2024
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