Provider Demographics
NPI:1144228123
Name:MEUNIER, GARY FRANCES (PHD, HSPP)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:FRANCES
Last Name:MEUNIER
Suffix:
Gender:M
Credentials:PHD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 MERIDIAN ST
Mailing Address - Street 2:SUITE 344
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-2776
Mailing Address - Country:US
Mailing Address - Phone:765-644-8567
Mailing Address - Fax:765-644-8577
Practice Address - Street 1:1106 MERIDIAN ST
Practice Address - Street 2:SUITE 344
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-2776
Practice Address - Country:US
Practice Address - Phone:765-644-8567
Practice Address - Fax:765-644-8577
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20010227103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN215990AMedicare ID - Type UnspecifiedPH.D HSPP