MEDICARE: GAIL MEYER LCSW

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	1041C0700X	Clinical Social Worker	11519	TX

General Provider Information

NPI Number	:	1750553764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL MEYER LCSW

Provider Business Mailing Address
First Line	:	2205 MAPLE LEAF DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-3113
Country	:	US
Telephone Number	:	972-867-6885
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 MAPLE LEAF DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-3113
Country	:	US
Telephone Number	:	972-867-6885
Fax Number	:

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

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	03/31/2008

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Directions to “ GAIL MEYER LCSW” Practice Location

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