Healthcare Provider Details

I. General information

NPI: 1497953798
Provider Name (Legal Business Name): ANNA MARIE MYERS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2007
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 K ST STE 550
SACRAMENTO CA
95814-4051
US

IV. Provider business mailing address

2351 SUNSET BLVD SUITE 170 PMB 280
ROCKLIN CA
95765-4930
US

V. Phone/Fax

Practice location:
  • Phone: 916-445-4072
  • Fax:
Mailing address:
  • Phone: 508-404-5784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number26434
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number808
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8502
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: