Provider Demographics
NPI:1659588861
Name:MEYERS, STEVE
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:MEYERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7299 N CHANNING WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0487
Mailing Address - Country:US
Mailing Address - Phone:559-268-1466
Mailing Address - Fax:559-268-1302
Practice Address - Street 1:22368 S. SIXTH
Practice Address - Street 2:
Practice Address - City:S. DOS PALOS
Practice Address - State:CA
Practice Address - Zip Code:93665
Practice Address - Country:US
Practice Address - Phone:559-268-1466
Practice Address - Fax:559-268-1302
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)