Provider Demographics
NPI:1740303510
Name:MEYER, ERIN ANN (MS, LMFT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ANN
Last Name:MEYER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12104 ROBINWOOD PLACE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8120
Mailing Address - Country:US
Mailing Address - Phone:405-749-0109
Mailing Address - Fax:
Practice Address - Street 1:12104 ROBINWOOD PLACE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8120
Practice Address - Country:US
Practice Address - Phone:405-749-0109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK585101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK585OtherLMFT