Healthcare Provider Details

I. General information

NPI: 1063665297
Provider Name (Legal Business Name): NATALIE MEYER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EASTON OVAL SUITE 450
COLUMBUS OH
43219-6036
US

IV. Provider business mailing address

2 EASTON OVAL SUITE 450
COLUMBUS OH
43219-6036
US

V. Phone/Fax

Practice location:
  • Phone: 614-475-9500
  • Fax: 614-475-9821
Mailing address:
  • Phone: 614-475-9500
  • Fax: 614-475-9821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number6744
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: