| Doctor Name: | PATRICIA HANES MEYER |
| NPI Number: | 1063735348 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PATRICIA MEYER, LCSW |
| License Number: | 0904000947 |
| Business Practice Address: | 11800 Sunrise Valley Dr Suite 312 Reston, VA - 201915300 |
| Business Phone Number: | 7037152202 |
| Business Fax Number: | 7037152202 |
| Mailing Address: | 11800 Sunrise Valley Dr, Suite 312 RESTON |
| State: | VA |
| Postal Code: | 201915300 |
| Phone Number: | 7037152202 |
| Fax Number: | 7037152202 |
| NPI Enumeration Date: | 03/01/2010 |
| NPI Last Update Date: | 03/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904000947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |