Provider Demographics
NPI:1033001938
Name:MEYERS, JAMES LESTER (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LESTER
Last Name:MEYERS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 PARADISE BAY DR
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-2973
Mailing Address - Country:US
Mailing Address - Phone:617-943-5553
Mailing Address - Fax:
Practice Address - Street 1:3860 PARADISE BAY DR
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-2973
Practice Address - Country:US
Practice Address - Phone:617-943-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3554103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist