Individual
IRENE MERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
240 CONCORD AVE, 1-A, CAMBRIDGE, MA 02138-1337
(617) 731-9096
Mailing address
52 HARRISON ST, BROOKLINE, MA 02446-6958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010369
VALUE OPTIONS
MA
01
—
709314
TUFTS
MA
01
—
7600506
AETNA
MA
01
—
W03969
BCBS
MA
Enumeration date
02/03/2007
Last updated
07/08/2007
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