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Individual

DR. THOMAS F MERRIFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2340 WARD ST, #201, BERKELEY, CA 94705-1124
(510) 684-7192
(510) 527-8548
Mailing address
419 COVENTRY RD, KENSINGTON, CA 94707-1314
(510) 527-8548
(510) 527-8548

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7122
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7122
PSYCHOLOGY LICENSE
CA
Enumeration date
05/09/2007
Last updated
07/08/2007
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