Provider Demographics
NPI:1639424005
Name:MEYER, ARDELL T (MSW, LSW)
Entity Type:Individual
Prefix:MR
First Name:ARDELL
Middle Name:T
Last Name:MEYER
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 STRAWBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3236
Mailing Address - Country:US
Mailing Address - Phone:724-977-1615
Mailing Address - Fax:
Practice Address - Street 1:112 STRAWBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3236
Practice Address - Country:US
Practice Address - Phone:724-977-1615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker