Individual
DR. MICHAEL H. MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCPC
Contact information
Practice address
1 E DELAWARE PL, SUITE 304, CHICAGO, IL 60611-4962
(312) 944-6425
(312) 944-6452
Mailing address
1 E DELAWARE PL, SUITE 304, CHICAGO, IL 60611-4962
(312) 944-6425
(312) 944-6452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
12/01/2006
Last updated
12/04/2007
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