Provider Demographics
NPI:1861739666
Name:MERLO, NADIA MARIEL (LMFT)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:MARIEL
Last Name:MERLO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 LENARD DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-3338
Mailing Address - Country:US
Mailing Address - Phone:650-303-7800
Mailing Address - Fax:
Practice Address - Street 1:3453 LENARD DR
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-3338
Practice Address - Country:US
Practice Address - Phone:650-303-7870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT117472106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist