Provider Demographics
NPI:1457517443
Name:MEYERS, JUDITH E (PSYD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:E
Last Name:MEYERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 CAMINO DEL RIO S STE 217
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3911
Mailing Address - Country:US
Mailing Address - Phone:619-294-6822
Mailing Address - Fax:619-294-9424
Practice Address - Street 1:3435 CAMINO DEL RIO S STE 217
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3911
Practice Address - Country:US
Practice Address - Phone:619-294-6822
Practice Address - Fax:619-294-9424
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6870174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist