Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3025-57 | WI |
Y | 103T00000X | Psychologist | 3025-57 | WI |
N | 102L00000X | Psychologist | 6656 | OH |
N | 103T00000X | Psychologist | 6656 | OH |
N | 102L00000X | Psychologist | PY7959 | FL |
N | 103T00000X | Psychologist | PY7959 | FL |
NPI | 1013355049 |
---|---|
Provider Name | Dr. Lari Mikel Meyer |
First Address | Milwaukee, WI 53202-2770 |
Second Address | Milwaukee, WI 53202-2770 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 12/06/2013 |