Provider Demographics
NPI:1487874210
Name:MEYERS, DAVID M (LPC, LCADC, SAC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:MEYERS
Suffix:
Gender:M
Credentials:LPC, LCADC, SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 TILTON PL
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-3832
Mailing Address - Country:US
Mailing Address - Phone:732-922-8501
Mailing Address - Fax:
Practice Address - Street 1:401 TILTON PL
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-3832
Practice Address - Country:US
Practice Address - Phone:732-922-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00038300101YA0400X
NJ37PC00020300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional