Provider Demographics
NPI:1235215724
Name:MEYER, JULIE R (MS)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:R
Last Name:MEYER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1708
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93062-1708
Mailing Address - Country:US
Mailing Address - Phone:805-583-0770
Mailing Address - Fax:805-583-0770
Practice Address - Street 1:1687 ERRINGER RD STE 106
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6509
Practice Address - Country:US
Practice Address - Phone:805-583-0770
Practice Address - Fax:805-583-0770
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36987106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist