MEDICARE: DAVID MEYERSON PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS008266L	PA

General Provider Information

NPI Number	:	1922045236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MEYERSON PH.D

Provider Business Mailing Address
First Line	:	4100 KUTZTOWN RD
Second Line	:
City	:	TEMPLE
State	:	PA
Zip	:	19560-1957
Country	:	US
Telephone Number	:	610-921-3678
Fax Number	:	610-921-3678

Provider Business Practice Location Address
First Line	:	4100 KUTZTOWN RD
Second Line	:
City	:	TEMPLE
State	:	PA
Zip	:	19560-1957
Country	:	US
Telephone Number	:	610-921-3678
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	01/13/2023

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Directions to “ DAVID MEYERSON PH.D” Practice Location

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