Provider Demographics
NPI:1942404330
Name:MYERS, MEYER II (LPA)
Entity Type:Individual
Prefix:
First Name:MEYER
Middle Name:
Last Name:MYERS
Suffix:II
Gender:M
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 ALTMAN RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9196
Mailing Address - Country:US
Mailing Address - Phone:919-732-4812
Mailing Address - Fax:
Practice Address - Street 1:39 BANK ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-1129
Practice Address - Country:US
Practice Address - Phone:434-432-2761
Practice Address - Fax:434-432-2893
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool