Merrill, Poupak
Merrill, Poupak is an individual health care provider with primary practice located at 5755 Cottle Rd Building 4, San Jose CA 95123-3640. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Merrill, Poupak can be contacted via phone (408) 972-3095.Contact Information
Primary practice address
5755 Cottle Rd Building 4
San Jose CA 95123-3640
Phone: (408) 972-3095
Fax: (408) 972-3242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 17674 | California |
Profile Details
| NPI number | 1750447520 |
|---|---|
| LBN Legal business name | Merrill, Poupak |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Dec 30th, 2021 - about 3 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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