Organization
LIZA C MERMELSTEIN PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA CHYTILO MERMELSTEIN PHD (MANAGING MEMBER)
(607) 768-9640
Entity
Organization
Contact information
Practice address
9426 INDIAN SCHOOL RD NE, SUITE 1, ALBUQUERQUE, NM 87112-2886
(505) 345-6100
(505) 345-4531
Mailing address
9426 INDIAN SCHOOL RD NE, SUITE 1, ALBUQUERQUE, NM 87112-2886
(505) 345-6100
(505) 345-4531
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1347
NM
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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