Individual
MERNA HERMIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 CROOKS RD, ROYAL OAK, MI 48073-4049
(248) 980-7997
Mailing address
2011 CROOKS RD, ROYAL OAK, MI 48073-4049
(248) 980-7997
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009326
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/09/2019
Last updated
09/16/2021
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