Provider Demographics
NPI:1316241037
Name:MERGLER, RANDY (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:RANDY
Middle Name:
Last Name:MERGLER
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 CLUB VIEW TER
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-1748
Mailing Address - Country:US
Mailing Address - Phone:970-980-6308
Mailing Address - Fax:
Practice Address - Street 1:1110 CLUB VIEW TER
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-1748
Practice Address - Country:US
Practice Address - Phone:970-980-6308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO633106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist