Provider Demographics
NPI:1275152902
Name:MYERS, MAUREEN W (PHD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:W
Last Name:MYERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 MUNROE HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:MA
Mailing Address - Zip Code:01741-1320
Mailing Address - Country:US
Mailing Address - Phone:978-371-3903
Mailing Address - Fax:
Practice Address - Street 1:252 MUNROE HILL RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741-1320
Practice Address - Country:US
Practice Address - Phone:978-371-3903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider