MEDICARE: MOLLY 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
1	103TS0200X	School Psychologist		MD

General Provider Information

NPI Number	:	1922496694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY MEYER

Provider Business Mailing Address
First Line	:	9752 GINGERWOOD DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-2324
Country	:	US
Telephone Number	:	301-661-1474
Fax Number	:

Provider Business Practice Location Address
First Line	:	9250 N LAUREL RD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-1660
Country	:	US
Telephone Number	:	410-880-5960
Fax Number	:

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

Provider Enumeration Date	:	01/05/2015
Last Update Date	:	03/19/2026

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Directions to “ MOLLY MEYER ” Practice Location

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