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NPI Code Detail

MEDICARE: ANGELA MEYERS PHD, LPC

MEDICARE: ANGELA MEYERS PHD, LPC
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 Counselor2018022858MO
2103T00000XPsychologist2023009820MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689160079
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MEYERS PHD, LPC
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 155 PARK DR
Second Line :
City : SAINT ROBERT
State : MO
Zip : 65584-7860
Country : US
Telephone Number : 844-853-8937
Fax Number : 573-364-6302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 04/18/2024

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