Individual
MR. ROD J MERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
133 N RIVERSIDE DR, TRUTH OR CONSEQUENCES, NM 87901-9738
(575) 894-4357
(575) 894-4358
Mailing address
133 N RIVERSIDE DR, TRUTH OR CONSEQUENCES, NM 87901-9738
(575) 894-4357
(575) 894-4358
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
542
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000K0463
—
NM
Enumeration date
12/08/2006
Last updated
12/28/2008
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