Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 071005287 | IL |
N | 103T00000X | Psychologist | 071005287 | IL |
Y | 103G00000X | Clinical Psychologist | 071005287 | IL |
Y | 103TC0700X | Clinical Psychologist | 071005287 | IL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1053467258 |
---|---|
Provider Name | Dr. Steven Alan Meyers |
First Address | Chicago, IL 60605-2000 |
Second Address | Chicago, IL 60605-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 29/04/2012 |