Individual
DR. CHRISTOPHER B MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55130-2400
(651) 495-6200
Mailing address
3366 OAKDALE AVE N, ROBBINSDALE, MN 55422-2948
(763) 581-6400
(763) 581-6401
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP4899
MN
103T00000X
Psychologist
Primary
LP4899
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39153400
—
WI
Enumeration date
11/17/2006
Last updated
08/16/2024
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