Individual
DR. THOMAS S MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP
Contact information
Practice address
12682 W BAJADA RD, PEORIA, AZ 85383-2808
(623) 388-4354
(623) 388-4354
Mailing address
12682 W BAJADA RD, PEORIA, AZ 85383-2808
(623) 388-4354
(623) 388-4354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY243
HI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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