Doctor Name: | J. DAVID MYERS |
NPI Number: | 1144432816 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC |
License Number: | 1548 |
Business Practice Address: | 41 Maddex Dr. Shepherdstown, WV - 25443 |
Business Phone Number: | 3048763878 |
Business Fax Number: | |
Mailing Address: | Po Box 3373, SHEPHERDSTOWN |
State: | WV |
Postal Code: | 254433373 |
Phone Number: | 3048763878 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |