Organization
MARTHA JANE MERRION PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MERRION PHD (OWNER)
(540) 905-2734
Entity
Organization
Contact information
Practice address
20130 LAKEVIEW CENTER PLZ STE 400, ASHBURN, VA 20147-5905
(540) 905-2734
Mailing address
88 RUNNYMEDE DR, CHARLES TOWN, WV 25414-3610
(540) 905-2734
(304) 724-7324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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