Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 102L00000X | Psychologist | 26044 | CA |
Y | 103T00000X | Psychologist | 26044 | CA |
NPI | 1013205004 |
---|---|
Provider Name | Dr. Christian David Meyer |
First Address | Napa, CA 94558-6293 |
Second Address | Norwalk, CA 90650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 12/07/2018 |