Provider Demographics
NPI:1518213131
Name:MEYER, CARY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:
Last Name:MEYER
Suffix:
Gender:M
Credentials:PSYD
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 1573
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-6573
Mailing Address - Country:US
Mailing Address - Phone:781-879-7802
Mailing Address - Fax:
Practice Address - Street 1:9 DAMONMILL SQ STE 4B
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2862
Practice Address - Country:US
Practice Address - Phone:781-879-7802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9208103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical