Healthcare Provider Details

I. General information

NPI: 1871896472
Provider Name (Legal Business Name): ELISE LOUISE MEYER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JOSE FIGUERES AVE STE 280
SAN JOSE CA
95116-1555
US

IV. Provider business mailing address

200 JOSE FIGUERES AVE STE 280
SAN JOSE CA
95116-1555
US

V. Phone/Fax

Practice location:
  • Phone: 408-937-8900
  • Fax:
Mailing address:
  • Phone: 408-937-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1313
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: