Provider Demographics
NPI:1346577210
Name:MEYER, ANNE HAMMOND (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:HAMMOND
Last Name:MEYER
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 1:2804 GRAND AVENUE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201
Mailing Address - Country:US
Mailing Address - Phone:425-422-2793
Mailing Address - Fax:425-491-7382
Practice Address - Street 1:2804 GRAND AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3430
Practice Address - Country:US
Practice Address - Phone:425-422-2793
Practice Address - Fax:425-491-7382
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical