Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK MELVIN MERWIN, PSYCHOLOGIST
Active Sole ProprietorMR. JACK MELVIN MERWIN, PSYCHOLOGIST is a Cognitive & Behavioral Psychologist healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1619050473 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · SAINT AUGUSTINE, FL
Registration Details
- NPI Number
- 1619050473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.770290785977 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PY2444 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 S PONCE DE LEON BLVD STE 1SAINT AUGUSTINE, FL, 320846013Browse FL providers · Browse ZIP 32084
- Phone
- 9048247733
- Fax
- 9048299768
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.