Provider Demographics
NPI:1760374664
Name:MEYERS, JUDITH EILEEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:EILEEN
Last Name:MEYERS
Suffix:
Gender:F
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:850-501-2868
Mailing Address - Fax:850-932-6602
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:850-501-2868
Practice Address - Fax:850-932-6602
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
FLPY3447103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist