Individual
MS. ROSE C MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Mailing address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04071
STATE LICENSE
MD
Enumeration date
07/25/2007
Last updated
03/05/2020
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