Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1846 | MA |
Y | 103TC0700X | Clinical Psychologist | 1846 | MA |
NPI | 1003922097 |
---|---|
Provider Name | Dr. Robert M. Meier |
First Address | Arlington, MA 02476-8038 |
Second Address | Arlington, MA 02476-8038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1899171 | (05) | MA |
WO2016 | BLUE CROSS (01) | MA |