Mather, Merlin R.

Mather, Merlin R. is an individual health care provider with primary practice located at 403 W Virginia Ave , Normal IL 61761-3666. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Mather, Merlin R. can be contacted via phone (309) 268-2910.

Contact Information

Primary practice address
403 W Virginia Ave Normal IL 61761-3666
Phone: (309) 268-2910
Fax: (309) 268-2913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1891718540
LBN Legal business name Mather, Merlin R.
Credentials D.MIN., LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891718540 NPPES
Other 05732028 BLUE CROSS BLUE SHIELD

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