Healthcare Provider Details

I. General information

NPI: 1356792584
Provider Name (Legal Business Name): JOSEPH FRANCIS MEYER III PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 BELMONT ST
WORCESTER MA
01604-1019
US

IV. Provider business mailing address

403 BELMONT ST
WORCESTER MA
01604-1019
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-4040
  • Fax:
Mailing address:
  • Phone: 413-584-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number10476
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: