Healthcare Provider Details

I. General information

NPI: 1922021690
Provider Name (Legal Business Name): ANDREW P MEYER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 LIBERTY ST SW
LEESBURG VA
20175-2715
US

IV. Provider business mailing address

199 LIBERTY ST SW
LEESBURG VA
20175-2715
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-6737
  • Fax: 703-665-7686
Mailing address:
  • Phone: 804-207-6737
  • Fax: 703-665-7686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0102037168
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number5101027694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: