Doctor Name: | DAVID MEYERSON |
NPI Number: | 1922045236 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | PS008266L |
Business Practice Address: | 1013 N Bethlehem Pike 2nd Floor Lower Gwynedd, PA - 190021307 |
Business Phone Number: | 6109213678 |
Business Fax Number: | 6109213678 |
Mailing Address: | 4100 Kutztown Rd, TEMPLE |
State: | PA |
Postal Code: | 195601957 |
Phone Number: | 6109213678 |
Fax Number: | 6109213678 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS008266L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |