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NPI Code Detail

MEDICARE: LAURA LEONA MEYER

MEDICARE:   LAURA LEONA MEYER
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
1101YP2500XProfessional Counselor73309TX

General Provider Information

NPI Number : 1669984670
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LEONA MEYER
Provider Business Mailing Address
First Line : 927 HUNTERS CREEK DR
Second Line :
City : DESOTO
State : TX
Zip : 75115-4710
Country : US
Telephone Number : 832-226-3001
Fax Number :
Provider Business Practice Location Address
First Line : 1601 E LAMAR BLVD STE 210
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-4464
Country : US
Telephone Number : 817-522-1095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2017
Last Update Date : 10/31/2017

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Directions to “ LAURA LEONA MEYER ” Practice Location

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