Healthcare Provider Details
I. General information
NPI: 1679638068
Provider Name (Legal Business Name): MEERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/26/2006
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3246 HENDERSON RD
COLUMBUS OH
43220-7323
US
IV. Provider business mailing address
3246 HENDERSON RD
COLUMBUS OH
43220-7323
US
V. Phone/Fax
- Phone: 614-451-0176
- Fax:
- Phone: 614-451-0176
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
D. JEROME
MEERS
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 614-451-0176