Doctor Name: | MS. JUDITH MEYERS |
NPI Number: | 1508182478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2667 |
Business Practice Address: | 1218 Hollywood Ave. Shreveport, LA - 71108 |
Business Phone Number: | 3184582786 |
Business Fax Number: | |
Mailing Address: | 434 Lowell Ct, SHREVEPORT |
State: | LA |
Postal Code: | 711152915 |
Phone Number: | 3185241851 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2010 |
NPI Last Update Date: | 04/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |