Organization
MERCLAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY T MERCER M.O. (OWNER/PRESIDENT)
(502) 241-2909
Entity
Organization
Contact information
Practice address
6200 CRESTWOOD STA, SUITE A, CRESTWOOD, KY 40014-7418
(502) 241-2909
(502) 241-6811
Mailing address
PO BOX 73070, CLEVELAND, OH 44193-0002
(502) 241-2909
(502) 241-6811
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
KY
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659444007
—
KY
Enumeration date
07/08/2006
Last updated
07/11/2008
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