Search › Idaho › 1041C0700X
Jack Mervin
NPI 1760033021 · on the registry since 2019
Practice
- Address
- 506 N 4th Ave
Sandpoint, ID 83864 - Phone
- (208) 263-5393
- Organisation at this address
- Sandpoint Psychotherapy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho