| Martha Jane Merrion Phd Pa | |
|
20130 Lakeview Center Plz Ste 400 Ashburn VA 20147-5905 | |
| (540) 905-2734 | |
| Not Available |
| Full Name | Martha Jane Merrion Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 20130 Lakeview Center Plz Ste 400, Ashburn, Virginia |
| Authorized Official Name and Position | Martha Merrion (OWNER) |
| Authorized Official Contact | 5409052734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Jane Merrion Phd Pa 88 Runnymede Dr Charles Town WV 25414-3610 Ph: (540) 905-2734 | Martha Jane Merrion Phd Pa 20130 Lakeview Center Plz Ste 400 Ashburn VA 20147-5905 Ph: (540) 905-2734 |
| NPI Number | 1851911390 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851911390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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