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Provider Information for 1881346302


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Dr. MATTHEW EVAN MEYERS Ed.D


Sex: Male

NPI: 1881346302
Last Updated: 2022-01-25
Certification Date: 2022-01-25

Details

NameValue
NPI1881346302
Enumeration Date2022-01-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 22287 MULHOLLAND HWY # 611
CALABASAS, CA 91302-5157
United States

Phone: 818-634-3411 | Fax:
 
Primary Practice Address 4327 FREEDOM DR UNIT 5
CALABASAS, CA 91302-5133
United States

Phone: 818-634-3411 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CAunknownUnknown
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 193400000X - Single Specialty Group
101YP2500X - Counselor - Professional
CA554