Provider Demographics
NPI:1699196808
Name:HAIGLER, MERLANN
Entity Type:Individual
Prefix:
First Name:MERLANN
Middle Name:
Last Name:HAIGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MERLANN
Other - Middle Name:
Other - Last Name:PENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 SCHERMERHORN ST APT 28R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3878
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 E 42ND ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5831
Practice Address - Country:US
Practice Address - Phone:212-609-9640
Practice Address - Fax:646-524-8323
Is Sole Proprietor?:No
Enumeration Date:2013-12-16
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0811121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical