Provider Demographics
NPI:1649545245
Name:MERRILL, TONI L (HAD)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:L
Last Name:MERRILL
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:L
Other - Last Name:ZIV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HAD
Mailing Address - Street 1:1277 ENCINITAS BLVD
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2843
Mailing Address - Country:US
Mailing Address - Phone:760-634-1469
Mailing Address - Fax:760-635-5917
Practice Address - Street 1:1277 ENCINITAS BLVD
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2843
Practice Address - Country:US
Practice Address - Phone:760-634-1469
Practice Address - Fax:760-635-5917
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7705237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist