Provider Demographics
NPI:1356792584
Name:MEYER, JOSEPH FRANCIS III (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:MEYER
Suffix:III
Gender:M
Credentials:PHD
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 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:VA BOSTON HEALTHCARE SYSTEM, BROCKTON DIVISION
Practice Address - Street 2:940 BELMONT STREET, BUILDING 5, MAILSTOP 118A
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02766-5596
Practice Address - Country:US
Practice Address - Phone:774-826-3305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10476103T00000X, 103TC0700X
MATBD103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist