Doctor Name: | DR. LINDA JAMES MYERS |
NPI Number: | 1174744502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 2035 |
Business Practice Address: | 2 Admiral Dr # B386 Emeryville, CA - 946081550 |
Business Phone Number: | 5106011789 |
Business Fax Number: | 4158652636 |
Mailing Address: | 5800 Sunbury Rd, GAHANNA |
State: | OH |
Postal Code: | 432301152 |
Phone Number: | 6142181186 |
Fax Number: | 5106011789 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |