Provider Demographics
NPI:1730642653
Name:MEYER, LAURA ANN (PHD, LMFT, LMHC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ANN
Last Name:MEYER
Suffix:
Gender:F
Credentials:PHD, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 HOLLYWOOD BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6937
Mailing Address - Country:US
Mailing Address - Phone:954-884-0050
Mailing Address - Fax:
Practice Address - Street 1:160 S UNIVERSITY DR STE B
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3326
Practice Address - Country:US
Practice Address - Phone:954-884-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3604106H00000X
FLMH15012101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist