Provider Demographics
NPI:1376665695
Name:MEYER, HEATHER (MA ED)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 TEAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2100
Mailing Address - Country:US
Mailing Address - Phone:513-681-7527
Mailing Address - Fax:
Practice Address - Street 1:4150 ALEXANDRIA PIKE
Practice Address - Street 2:SUITE 108
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-3501
Practice Address - Country:US
Practice Address - Phone:859-572-0430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist