Basic Information
Provider Information
NPI: 1396707758
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEYER
FirstName: DINAH
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 124 PRESTFIELD CIR
Address2:  
City: PICKERINGTON
State: OH
PostalCode: 431478082
CountryCode: US
TelephoneNumber: 7408268356
FaxNumber:  
Practice Location
Address1: 2845 BELL ST
Address2:  
City: ZANESVILLE
State: OH
PostalCode: 437011720
CountryCode: US
TelephoneNumber: 7404549766
FaxNumber: 7405886452
Other Information
ProviderEnumerationDate: 04/03/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC1900X5269OHY Behavioral Health & Social Service ProvidersPsychologistCounseling

ID Information
IDTypeStateIssuerDescription
20625201OHCOMPSYCH BH PINOTHER
702133501OHAETNA PINOTHER
00000023813901OHANTHEM PINOTHER
30782101OHTRICARE/MHN PINOTHER
34540101OHMOUNT CARMEL PINOTHER
615890301OHUBH PINOTHER
Y30629701OHTHE HEALTH PLAN PINOTHER


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