Provider Demographics
NPI:1497805030
Name:MYERS, WILLIAM STEVEN (LISW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:STEVEN
Last Name:MYERS
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W PERKINS AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-4759
Mailing Address - Country:US
Mailing Address - Phone:419-621-8551
Mailing Address - Fax:
Practice Address - Street 1:501 W PERKINS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-4759
Practice Address - Country:US
Practice Address - Phone:419-621-8551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI91401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical