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NPI Code Detail

MEDICARE: MISS COURTNEY MEIER PSYD

MEDICARE: MISS COURTNEY MEIER PSYD
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
1103TC0700XClinical Psychologist30884CA
2106S00000XBehavior Technician
3103T00000XPsychologist30884CA
4390200000XStudent in an Organized Health Care Education/Training Program
5103TC0700XClinical PsychologistPSY30884CA

General Provider Information

NPI Number : 1922312594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS COURTNEY MEIER PSYD
Provider Business Mailing Address
First Line : 1333 WILLOW PASS RD STE 102
Second Line :
City : CONCORD
State : CA
Zip : 94520-5225
Country : US
Telephone Number : 925-825-1793
Fax Number :
Provider Business Practice Location Address
First Line : 5776 STONERIDGE MALL RD STE 340
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-4514
Country : US
Telephone Number : 925-223-8047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 11/29/2023

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