=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073824637
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LISA J. MEIER, PH.D.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2010
-----------------------------------------------------
Last Update Date | 06/29/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7700 LEESBURG PIKE SUITE 202
-----------------------------------------------------
City | FALLS CHURCH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22043-2615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-320-2417
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 697
-----------------------------------------------------
City | GLEN ECHO
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20812-0697
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | DR. LISA J. MEIER
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 301-320-2417
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 0810002069
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------