| Doctor Name: | SCOTT RICHARD MEYER |
| NPI Number: | 1679807986 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RI-M0909081620 |
| License Number: | RI-M0909081620 |
| Business Practice Address: | 6222 Gold Dust Dr Kelseyville, CA - 954519214 |
| Business Phone Number: | 7073497351 |
| Business Fax Number: | |
| Mailing Address: | 6222 Gold Dust Dr., KELSEYVILLE |
| State: | CA |
| Postal Code: | 95451 |
| Phone Number: | 7073497351 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 09/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RI-M0909081620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |