MEDICARE: MRS. KATHERINE FRANCES MERRILL LCMHC

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
1	101YM0800X	Mental Health Counselor	388	NH

General Provider Information

NPI Number	:	1194719880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE FRANCES MERRILL LCMHC

Provider Business Mailing Address
First Line	:	4 SCARBOROUGH DR
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03063-3463
Country	:	US
Telephone Number	:	603-889-6147
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 PROSPECT ST
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03060-3921
Country	:	US
Telephone Number	:	603-889-6147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/08/2007

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