Provider Demographics
NPI:1447315098
Name:MERCER, THOMAS STEPHEN (MA, PHD CAND)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:STEPHEN
Last Name:MERCER
Suffix:
Gender:M
Credentials:MA, PHD CAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HERON POND CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5586
Mailing Address - Country:US
Mailing Address - Phone:803-419-0539
Mailing Address - Fax:
Practice Address - Street 1:11 HERON POND CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5586
Practice Address - Country:US
Practice Address - Phone:803-419-0539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health