Provider Demographics
NPI:1811264427
Name:MERKLE, ERICH ROBERT (PHD)
Entity type:Individual
Prefix:DR
First Name:ERICH
Middle Name:ROBERT
Last Name:MERKLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 N BROADWAY ST
Mailing Address - Street 2:ROOM 17
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1911
Mailing Address - Country:US
Mailing Address - Phone:330-761-2830
Mailing Address - Fax:330-761-3224
Practice Address - Street 1:70 N BROADWAY ST
Practice Address - Street 2:ROOM 16
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1911
Practice Address - Country:US
Practice Address - Phone:330-761-2830
Practice Address - Fax:330-761-3224
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist