Provider Demographics
NPI:1700945623
Name:MEYERS, HELEN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:G
Last Name:MEYERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 MAGNOLIA LANE
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:631-547-0137
Mailing Address - Fax:631-425-1958
Practice Address - Street 1:400 MONTAUK HIGHWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795
Practice Address - Country:US
Practice Address - Phone:631-669-1146
Practice Address - Fax:631-547-0137
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7055103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
V53381Medicare ID - Type Unspecified