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NPI Code Detail

MEDICARE: DR. MARTIN BARRY MEYER PH.D.

MEDICARE: DR. MARTIN BARRY MEYER PH.D.
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
1103T00000XPsychologistPS006079LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1156500OTHERPAVALUE OPTIONS PROVDER #
2702165OTHERPAHIGHMARK PROVIDER ID

General Provider Information

NPI Number : 1447309133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN BARRY MEYER PH.D.
Provider Business Mailing Address
First Line : 185 FORRESTER RD
Second Line :
City : SLIPPERY ROCK
State : PA
Zip : 16057-2515
Country : US
Telephone Number : 724-794-1954
Fax Number : 724-794-1905
Provider Business Practice Location Address
First Line : 220 S MAIN ST
Second Line : SUITE 304
City : BUTLER
State : PA
Zip : 16001-5987
Country : US
Telephone Number : 724-287-5604
Fax Number : 724-287-3779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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