Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810006389 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810006389 | VA |
NPI | 1003403015 |
---|---|
Provider Name | Dr. Christine Caroline Merz |
First Address | Charlottesville, VA 22902-5217 |
Second Address | Charlottesville, VA 22902-5217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2020 |
Last Update Date | 23/12/2020 |