Provider Demographics
NPI:1881483394
Name:MEYER, HEATHER (IBCLC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 SONNET AVE # 102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8806
Mailing Address - Country:US
Mailing Address - Phone:317-938-4506
Mailing Address - Fax:
Practice Address - Street 1:8100 SONNET AVE # 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8806
Practice Address - Country:US
Practice Address - Phone:317-654-4158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-308019174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN