Healthcare Provider Details

I. General information

NPI: 1811264427
Provider Name (Legal Business Name): ERICH ROBERT MERKLE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2011
Last Update Date: 02/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 N BROADWAY ST ROOM 16
AKRON OH
44308-1911
US

IV. Provider business mailing address

70 N BROADWAY ST ROOM 17
AKRON OH
44308-1911
US

V. Phone/Fax

Practice location:
  • Phone: 330-761-2830
  • Fax: 330-761-3224
Mailing address:
  • Phone: 330-761-2830
  • Fax: 330-761-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: