Individual
MR. MARK ALAN MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
6401 UNIVERSITY AVE NE, SUITE 205, FRIDLEY, MN 55432-4341
(651) 426-1648
Mailing address
2228 CARTER AVE, APARTMENT 1, SAINT PAUL, MN 55108-1653
(651) 426-1648
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0244
MN
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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