Organization Name: | DANA M MYERS PSYD PLLC |
NPI Number: | 1467720789 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANA M MYERS (OWNER) |
Mailing Address: | 16218 Pacific Ave S Ste B2 Spanaway |
State: | WA US |
Postal Code: | 983878612 |
Phone Number: | 2532080275 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |