Healthcare Provider Details

I. General information

NPI: 1164665873
Provider Name (Legal Business Name): MURRAY HAROLD MERNER PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2009
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 MEDICAL DR
GREENVILLE NC
27834-7503
US

IV. Provider business mailing address

2100 STATONSBURG BOULEVARD PO BOX 6028
GREENVILLE NC
27835-6028
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4357
  • Fax: 252-847-7843
Mailing address:
  • Phone: 252-847-4357
  • Fax: 252-847-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1419
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: