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NPI Code Detail

MEDICARE: HANNAH LORRAINE MERKLEN

MEDICARE:   HANNAH LORRAINE MERKLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst1215462MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104435064
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH LORRAINE MERKLEN
Provider Business Mailing Address
First Line : 8 EXECUTIVE DR
Second Line :
City : FAIRVIEW HEIGHTS
State : IL
Zip : 62208-1345
Country : US
Telephone Number : 618-719-3410
Fax Number :
Provider Business Practice Location Address
First Line : 11432 TESSON FERRY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63123-6925
Country : US
Telephone Number : 217-525-8332
Fax Number : 217-789-1420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 09/12/2022

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Directions to “ HANNAH LORRAINE MERKLEN ” Practice Location

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