MEDICARE: MRS. ERIN FRANCES MEYER LMFT #79292

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	106H00000X	Marriage & Family Therapist	79292	CA

General Provider Information

NPI Number	:	1205961323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN FRANCES MEYER LMFT #79292

Provider Business Mailing Address
First Line	:	1127 SUNSHINE CIR
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94506-4425
Country	:	US
Telephone Number	:	925-963-2198
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 SAN RAMON VALLEY BLVD STE 202
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-4036
Country	:	US
Telephone Number	:	925-963-2198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	12/14/2018

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