Healthcare Provider Details

I. General information

NPI: 1679701676
Provider Name (Legal Business Name): OREN MEYERS PH D LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2009
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 GREEN RD SUITE 222
BEACHWOOD OH
44122-5727
US

IV. Provider business mailing address

3659 GREEN RD SUITE 222
BEACHWOOD OH
44122-5727
US

V. Phone/Fax

Practice location:
  • Phone: 216-570-1597
  • Fax: 216-834-0014
Mailing address:
  • Phone: 216-570-1597
  • Fax: 216-834-0014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN SCHEEL
Title or Position: PRESIDENT, SECRETARY
Credential:
Phone: 904-605-4986