NPI Code Details Logo

NPI 1992701916

NPI 1992701916 : MARK BENJAMIN MEYERS PSY.D. : NAPLES, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992701916
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MARK BENJAMIN MEYERS PSY.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/23/2005
-----------------------------------------------------
    Last Update Date     |    01/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    975 IMPERIAL GOLF COURSE BLVD STE 113 
-----------------------------------------------------
    City                 |    NAPLES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34110-1088
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    239-409-0008
-----------------------------------------------------
    Fax                  |    833-818-0145
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3950 ESTERO BAY LN 
-----------------------------------------------------
    City                 |    NAPLES
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34112-6112
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    239-409-0008
-----------------------------------------------------
    Fax                  |    833-818-0145
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    PY7046
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.