Individual
SUSAN LLOYD-MERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
Mailing address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20042376A
IN
103TC0700X
Clinical Psychologist
Primary
PY8294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200963390A
—
IN
Enumeration date
09/03/2008
Last updated
04/20/2015
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