Individual
DR. VIVECA A MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNM SOM DEPT OF PSYCHIATRY & BEHAVIORAL, 2400 TUCKER NE, 4TH FLOOR, MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-8043
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-0148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD039176L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD2016-0815
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001006949
—
PA
Enumeration date
02/16/2006
Last updated
12/15/2016
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