Individual
KATIE MERRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 N MCMULLEN BOOTH RD STE C1, CLEARWATER, FL 33759-2129
(727) 228-2388
Mailing address
1700 N MCMULLEN BOOTH RD STE C1, CLEARWATER, FL 33759-2129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 14119
FL
103T00000X
Psychologist
Primary
PY10040
FL
Other
Enumeration date
07/17/2016
Last updated
05/06/2019
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