Individual
DR. KENNETH MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
31 W 9TH ST, NEW YORK, NY 10011-9206
(516) 909-8725
Mailing address
554 LAKES RD, WALTON LAKE, MONROE, NY 10950-1070
(516) 909-8725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138123
VALUE OPTIONS
NY
Enumeration date
04/08/2007
Last updated
04/16/2013
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