Susan Merrill | Los Alamitos, CA • PECOS Search

Susan Merrill

Marriage & Family Therapist

Behavioral Health & Social Service Providers

4132 Katella Ave Ste 202, Los Alamitos, CA 90720-3498

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Merrill does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1225467616
Provider Type
Individual
Full Name
Merrill, Susan
Credential
M.A.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/6/2013
Last Updated
11/6/2013

Contact Information

Practice Location

4132 Katella Ave Ste 202, Los Alamitos, CA 90720-3498

Unlisted Fax

Mailing Location

PO Box 3184, Seal Beach, CA 90740-2184

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC 54006 California