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NPI Code Detail

MEDICARE: DR. F MERRITT AYAD PHD

MEDICARE: DR. F MERRITT AYAD PHD
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
1103T00000XPsychologist1029NM

General Provider Information

NPI Number : 1851401939
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. F MERRITT AYAD PHD
Provider Business Mailing Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2434
Fax Number : 505-454-5507
Provider Business Practice Location Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2434
Fax Number : 505-454-5507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/16/2010

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Directions to “ DR. F MERRITT AYAD PHD” Practice Location

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