Individual
BENJAMIN MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3842 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 471-2300
Mailing address
3842 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 471-2300
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1578312
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/11/2016
Last updated
11/16/2023
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