MEDICARE: M BENJAMIN MEYERS, PSYD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY7046	FL

General Provider Information

NPI Number	:	1184806838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M BENJAMIN MEYERS, PSYD, PA

Provider Business Mailing Address
First Line	:	3950 ESTERO BAY LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-6112
Country	:	US
Telephone Number	:	239-409-0008
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 ESTERO BAY LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-6112
Country	:	US
Telephone Number	:	239-409-0008
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	DR. MARK BENJAMIN MEYERS
Credential	:	PSYD
Telephone Number	:	239-409-0008

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	02/20/2026

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