Individual
JESSICA MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4461 ASTER BLVD, HOWELL, MI 48843-6524
(517) 294-3376
Mailing address
4461 ASTER BLVD, HOWELL, MI 48843-6524
(517) 294-3376
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301015712
MI
103T00000X
Psychologist
Primary
6361005723
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/02/2013
Last updated
08/04/2022
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